Individual provider Active NPI

Phung Dinh Nguyen, MD

  • Allergy Physician
  • Houston, TX
National Provider Identifier
1326196734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
G 2455 Issued in TX
Practice address
2905 Milam St
Houston, TX 77006-3609
Phone
(713) 529-5659
Fax
(713) 529-0182
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X G 2455 TX Primary

Addresses

Primary practice location

2905 Milam St
Houston, TX 77006-3609

Mailing address

2905 Milam St
Houston, TX 77006-3609
Phone (713) 529-5659

Other names 1

  • Dr. Nguyen Dinh Phung Professional name

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
I20110624000338 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2961680814 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11556 Bellaire Blvd
Suite B
Houston, TX 77072-2461
Phone (281) 988-7330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G 2455TXMDAllergy Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326196734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 MILAM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063609",
            "telephone_number": "713-529-5659",
            "fax_number": "713-529-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 MILAM ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770063609",
            "telephone_number": "713-529-5659",
            "fax_number": "713-529-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUNG",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "G 2455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGUYEN",
            "last_name": "PHUNG",
            "middle_name": "DINH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.