Individual provider Active NPI

Hoa X Nguyen, MD

  • Specialist
  • Lubbock, TX
National Provider Identifier
1275716920
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
K2363 Issued in TX
Practice address
3819 24TH St
Lubbock, TX 79410-1829
Phone
(806) 797-7000
Fax
(806) 797-7055
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X K2363 TX Primary

Addresses

Primary practice location

3819 24TH St
Lubbock, TX 79410-1829

Mailing address

3819 24TH St
Lubbock, TX 79410-1829
Phone (806) 797-7000

Other identifiers 2

IdentifierTypeStateIssuer
045770702MedicaidTX
8G2211OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131230000011 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8921235649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Cardiology Clinic, PAGroup PAC ID 3375720303, 2 clinicians

Practice addresses (Care Compare)

3819 24TH St
Suite a
Lubbock, TX 79410-1829
Phone (806) 470-0018

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting44
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Cardiology Clinic, PA CurrentSince Jul 1, 2002 Accepting new patients
South Plains Surgery Center LLC Past Accepting new patients
Caprock Cardiovascular Center, LLP PastSince Sep 1, 2017 Accepting new patients

Locations

3819 24th St
Lubbock, TX 79410
Phone (806) 792-0792

3819 24th St
Ste A
Lubbock, TX 79410
Phone (806) 470-0018

4412 6th St
Lubbock, TX 79416
Phone (806) 451-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peterhoa.nguyen@direct.myteamcare.com

Organizations & group practices 3

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1275716920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101829",
            "telephone_number": "806-797-7000",
            "fax_number": "806-797-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101829",
            "telephone_number": "806-797-7000",
            "fax_number": "806-797-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOA",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K2363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045770702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G2211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.