Mary Suzanne Nguyen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K5365 Issued in TX

Practice address

409 Madrid St
Castroville, TX 78009-4527

Phone

(830) 538-2254

Fax

(830) 931-2259

NPI assigned

Oct 10, 2005

Last updated

May 21, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lloyd P Van Winkle, MD, PAGroup PAC ID 5294040952, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medina Regional Hospital Hospital, Hondo, TX, CCN 451330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: leigh.van.osselaer.1@3350.direct.athenahealth.com
• Direct secure messaging: mary.nguyen.1@3350.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Companion Hospice and Palliative Care of South Texas, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1316327950

  Limited Partnership Interest

  CMS ownership

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.

• Lloyd P Van Winkle, MD, PA

  dba Medina Valley Family Practice

  • Primary Care Clinic/Center
  • Castroville, TX
  • NPI 1992837330
  Medicare reassignment Care Compare group

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

• Medina County Hospital District

  dba Medina Regional Hospital

  • Critical Access Hospital
  • Hondo, TX
  • NPI 1427048453
  Care Compare affiliation

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1356339717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MADRID ST",
            "address_2": "PO BOX 960",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094527",
            "telephone_number": "830-538-2254",
            "fax_number": "830-931-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MADRID ST",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780094527",
            "telephone_number": "830-538-2254",
            "fax_number": "830-931-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "middle_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0100RE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Mumme, CCC-SLP
• MV Spine and Joint, P.a.
• MVC Health & Wellness Co., LLC
• N & J Caring, LLC
• Richard L Neel, M.D.
• John B. Nixon, D.D.S.
• Armando Olivarez, FNP
• Amy Lee Osoria, PT, DPT, CKTP
• Deukhyun Park, PT
• Bobby W Pittman, M.D.

• Family Medicine Physician in Castroville, TX
• Providers in Castroville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.