Individual provider Active NPI

Minh D Nguyen, MD

  • Family Medicine Physician
  • Waco, TX
National Provider Identifier
1326177601
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06771800 Issued in NJ
Practice address
4800 Memorial Dr BLDG 4
Waco, TX 76711
Phone
(254) 297-3000
Fax
(254) 297-5393
NPI assigned
Mar 5, 2007
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06771800 NJ Primary

Addresses

Primary practice location

4800 Memorial Dr BLDG 4
Waco, TX 76711

Mailing address

4800 Memorial Dr BLDG 4
Waco, TX 76711-1329
Phone (254) 297-3000

Other practice location 1

4800 Memorial Dr Bldg 4
Waco, TX 76711
Phone (254) 297-3000 ext. 53870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200603001938 TX Order and Referring Only - Family PracticePractitioner - Family Practice 2466510631
I20200604000102 NJ Order and Referring Only - Family PracticePractitioner - Family Practice 2466510631

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Lake Health Center Past Accepting new patients
Spirit Lake Tribe Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1326177601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR BLDG 4",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111329",
            "telephone_number": "254-297-3000",
            "fax_number": "254-297-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR BLDG 4",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76711",
            "telephone_number": "254-297-3000",
            "fax_number": "254-297-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Memorial Dr Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76711",
            "country_code": "US",
            "telephone_number": "254-297-3000 x53870",
            "fax_number": "254-297-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06771800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.