Individual provider Active NPI

Bao Nguyen

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1336496892
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
Q3250 Issued in TX
Practice address
10514 Dude Rd
Houston, TX 77064-7133
Phone
(832) 279-2631
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Q3250 TX Primary

Addresses

Primary practice location

10514 Dude Rd
Houston, TX 77064-7133

Mailing address

17931 Bandera Ridge LN
Cypress, TX 77433-6996
Phone (832) 279-2631

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bao.nguyen@hcr.eclinicaldirectplus.com

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
I20160506000524 TX Practitioner - Rheumatology 2567761935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9717 Jones Rd
Houston, TX 77065-4303
Phone (832) 688-9463

Hospital & facility affiliations

  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q3250TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Comprehensive Rheumatology Rheumatology CurrentSince Apr 1, 2016 Accepting new patients
Cypress Allergy & Asthma PA PastSince Mar 15, 2023 Accepting new patients

Locations

9717 Jones Rd
Ste 200
Houston, TX 77065
Phone (832) 688-9463

11240 FM 1960 Rd W
Ste 401
Houston, TX 77065
Phone (832) 688-9463

9717 Jones Rd
#200
Houston, TX 77065
Phone (832) 688-9463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAIBD/Endpoint/CFAIBD

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1336496892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17931 BANDERA RIDGE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336996",
            "telephone_number": "832-279-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 DUDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647133",
            "telephone_number": "832-279-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "Q3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bao.nguyen@hcr.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10514 Dude Rd",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770647133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.