NPIMap

Individual provider Active NPI

Susie Le Nguyen, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1275532764
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7074 Issued in TX
Practice address
11810 FM 1960 Rd W
Houston, TX 77065-3840
Phone
(832) 912-7111
Fax
(832) 912-7117
NPI assigned
Jul 18, 2005
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7074 TX Primary

Addresses

Primary practice location

11810 FM 1960 Rd W
Houston, TX 77065-3840

Mailing address

11810 FM 1960 Rd W
Houston, TX 77065-3840
Phone (832) 912-7111

Other identifiers 2

IdentifierTypeStateIssuer
161546001MedicaidTX
161547802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000070 TX Practitioner - Internal Medicine 4183713480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HC Medical Doctors, PAGroup PAC ID 6002905304, 2 clinicians

Practice addresses (Care Compare)

11810 FM 1960 Rd W
Houston, TX 77065-3840
Phone (832) 912-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L7074TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HC Medical Doctors, P.a. Internal Medicine CurrentSince Nov 27, 2012 Accepting new patients

Locations

11810 FM 1960 Rd W
Houston, TX 77065
Phone (832) 812-7111

11301 Fallbrook Dr
Ste 110
Houston, TX 77065
Phone (281) 664-2554

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGDAAA/Endpoint/AGDAAA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1275532764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11810 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "832-912-7111",
            "fax_number": "832-912-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11810 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653840",
            "telephone_number": "832-912-7111",
            "fax_number": "832-912-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SUSIE",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161546001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161547802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.