Active NPI
Nancy T. Ngo, M.D.
- Pediatric Adolescent Medicine Physician
- Port Arthur, TX
National Provider Identifier
1366448557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- K4171
- Practice address
- 8333 9TH Ave
Ste C
Port Arthur, TX 77642-8083 - Phone
- (409) 722-3761
- Fax
- (409) 722-2095
- NPI assigned
- Jun 22, 2005
- Reactivated
- Mar 30, 2006
- Last updated
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | K4171 | TX | Primary |
Addresses
Primary practice location
8333 9TH Ave
Ste C
Port Arthur, TX 77642-8083
Mailing address
8333 9TH Ave
Ste C
Port Arthur, TX 77642-8083
Phone (409) 722-3761
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160222002436 | TX | Order and Referring Only - Pediatric Medicine | 8628201225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K4171 | TX | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Ngo Medical Group LTD LLP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIJECA/Endpoint/FIJECA
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1366448557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 9TH AVE",
"address_2": "STE C",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428083",
"telephone_number": "409-722-3761",
"fax_number": "409-722-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 9TH AVE",
"address_2": "STE C",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776428083",
"telephone_number": "409-722-3761",
"fax_number": "409-722-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "NANCY",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "K4171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Arthur, TX
- Neurology Associates of Southeast Texas, P.L.L.C. (Marwan Purghol, M.D.)
- Faleasha Yayaa Dawn Nevils, LCDC-I, MHPS, RSPS
- Melissa D Newberry, M.S., CCC-SLP
- Nexion Health at Port Arthur, Inc. (Port Arthur Healthcare and Rehabilitation Center)
- Nezar a. Shobassy, M.D.P.a. (Gastroenterology Associates)
- Hanh My Nguyen, PA
- Harvey Long Nguyen, DDS
- Huu Hau Nguyen
- Minhnguyet Thi Nguyen, PHARMACIST
- Quoc Nguyen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.