Individual provider Active NPI

Mary Theresa Vu Hoang, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1306015227
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M8042 Issued in TX
Practice address
607 Timberdale LN
Suite 201
Houston, TX 77090-3049
Phone
(281) 440-3005
Fax
(281) 444-9070
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M8042 TX
Nephrology Physician 207RN0300X M8042 TX Primary

Addresses

Primary practice location

607 Timberdale LN
Suite 201
Houston, TX 77090-3049

Mailing address

607 Timberdale LN
Suite 201
Houston, TX 77090-3049
Phone (281) 440-3005

Other identifiers 2

IdentifierTypeStateIssuer
196278901MedicaidTX
8F6675OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, ME, WV, RI, ID, TN, WI8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20080716000410 TX Practitioner - Internal MedicinePractitioner - Nephrology 5698848174
I20180709001242 IL Practitioner - Internal MedicinePractitioner - Nephrology 5698848174
I20190926000178 ME Practitioner - Internal Medicine 5698848174
I20191108002239 WV Practitioner - Internal Medicine 5698848174 Reassigns benefits to 2 organizations
I20200413001667 RI Practitioner - Internal Medicine 5698848174 Reassigns benefits to 1 organization
I20200613000073 ID Practitioner - Internal Medicine 5698848174 Reassigns benefits to 1 organization
I20200618003165 TN Practitioner - Internal Medicine 5698848174
I20201012001311 WI Practitioner - Internal Medicine 5698848174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8042TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 25 PC CurrentSince Jun 6, 2022 Accepting new patients
Sunbridge Healthcare LLC PastSince Mar 16, 2020 Accepting new patients
Excelpodiatry Care LLC Past Accepting new patients

Locations

290 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-2800

3001 E Evesham Rd
Voorhees, NJ 08043
Phone (856) 751-1600

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1306015227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 TIMBERDALE LN",
            "address_2": "SUITE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903049",
            "telephone_number": "281-440-3005",
            "fax_number": "281-444-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MARY THERESA",
        "middle_name": "VU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M8042",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M8042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196278901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8F6675",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.