Organization Active NPI

Todd Thang Quoc Nguyen, MD, PLLC

Doing business as Transcend Medical Group

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1336328426
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0513 Issued in TX
Legal business name
TODD THANG QUOC NGUYEN, MD, PLLC
Doing business as
Transcend Medical Group
Practice address
1119 W Randol Mill Rd Ste 103
Arlington, TX 76012-6509
Phone
(817) 860-2700
Fax
(817) 860-2704
NPI assigned
Oct 25, 2007
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mrs. Justine T Phan, CPA
Title
Cfo
Phone
(817) 860-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0513 TX Primary

Addresses

Primary practice location

1119 W Randol Mill Rd Ste 103
Arlington, TX 76012-6509

Mailing address

1119 W Randol Mill Rd Ste 103
Arlington, TX 76012-6509
Phone (817) 860-2700

Other identifiers 3

IdentifierTypeStateIssuer
0067MTOtherTXBCBS
DE5064OtherMEDICARE RAILROAD
183238801MedicaidTX

Other names 1

  • TRANSCEND MEDICAL GROUP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000415 TX Part B Supplier - Clinic/Group Practice 7416983622 Receives reassigned benefits from 6 practitioners
Practice locations: Arlington, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1092331Transcend Medical Group1119 W Randol Mill Road , Suite 103, Arlington, TX 76012AccreditationMar 14, 2027

National Provider Directory

National Provider Directory

Locations

1119 W Randol Mill Rd
Ste 100
Arlington, TX 76012
Phone (817) 860-2700

903 Medical Centre Dr
Ste D
Arlington, TX 76012
Phone (817) 265-8777

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": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1336328426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "817-860-2700",
            "fax_number": "817-860-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "817-860-2700",
            "fax_number": "817-860-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD THANG QUOC NGUYEN, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-860-7000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0067MT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DE5064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183238801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRANSCEND MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.