Paul Nam Phong Nguyen

Primary specialty

PodiatristTaxonomy code 213E00000X

License

692165 Issued in TX

Practice address

1119 W Randol Mill Rd Ste 107
Arlington, TX 76012-6509

Phone

(817) 860-2700

Fax

(817) 860-2704

NPI assigned

Jul 2, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Paul Nam Phong Nguyen Other name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GAEGDD/Endpoint/GAEGDD
• Direct secure messaging: pnguyen417280@direct.saint-lukes.org

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.

• US Podiatry Group PLLC

  • Podiatrist
  • Arlington, TX
  • NPI 1306684881
  Medicare reassignment NPD Authorized official
• Todd Thang Quoc Nguyen, MD, PLLC

  dba Transcend Medical Group

  • Internal Medicine Physician
  • Arlington, TX
  • NPI 1336328426
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1336710136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 W RANDOL MILL RD",
            "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 107",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760126509",
            "telephone_number": "817-860-2700",
            "fax_number": "817-860-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAUL",
        "middle_name": "NAM PHONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "692165",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "2021025316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "NGUYEN",
            "middle_name": "NAM PHONG",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Anh Nguyen
• Monica Nguyen, DC
• Nathan Nguyen
• Nhi Yen Thi Nguyen
• Nhung Thi Nguyen
• Peter V Nguyen, MD
• Phan T Nguyen, MD
• Phi Hung Nguyen, PHARMD
• Phung Nguyen, RPH
• Quy Nguyen, RPH

• Podiatrist in Arlington, TX
• Providers in Arlington, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.