NPIMap

Organization Active NPI

Tarrant Internal Medicine & Pediatrics, PLLC

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1316240617
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3357 Issued in LA
Legal business name
TARRANT INTERNAL MEDICINE & PEDIATRICS, PLLC
Practice address
7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897
Phone
(817) 881-9534
NPI assigned
Dec 9, 2010
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Huy Nguyen, M.D.NPI 1023012002
Title
President
Phone
(817) 881-9534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3357 LA Primary
Pediatrics Physician 208000000X K3357 LA

Addresses

Primary practice location

7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897

Mailing address

7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897
Phone (817) 881-9534

Other identifiers 1

IdentifierTypeStateIssuer
217749501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000572 TX Part B Supplier - Clinic/Group Practice 2062694789 Receives reassigned benefits from 8 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

7355 N Beach St
Ste 153
Fort Worth, TX 76137
Phone (817) 881-9534

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1316240617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 153",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-881-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 153",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-881-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT INTERNAL MEDICINE & PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-881-9534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "K3357",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "K3357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217749501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.