Individual provider Active NPI

Nancy T. Ngo, M.D.

  • Pediatric Adolescent Medicine Physician
  • Port Arthur, TX
National Provider Identifier
1366448557
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
K4171 Issued in TX
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
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222002436 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8628201225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Ngo Medical Group LTD LLP Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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 and National Provider Directory roles.

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

Sources for this page

Verify at the official NPI Registry.