Individual provider Active NPI

Trang H. Nguyen, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1376567156
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1443 Issued in TX
Practice address
9896 Bellaire Blvd Ste H
Houston, TX 77036-3496
Phone
(713) 851-9438
Fax
(713) 923-2292
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1443 TX Primary

Addresses

Primary practice location

9896 Bellaire Blvd Ste H
Houston, TX 77036-3496

Mailing address

2102 Verona Dr
Pearland, TX 77581-4762
Phone (713) 851-9438

Other practice location 1

11920 Astoria Blvd Ste 300
Houston, TX 77089-6097
Phone (713) 851-9438

Other identifiers 3

IdentifierTypeStateIssuer
080803201MedicaidTX
680552086OtherTXTAX ID
0053KDOtherTXBLUE CROSS AND BLUE SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050502000935 TX Practitioner - Podiatry 3072552736 Practice locations: Houston, TX
O20100930023097 TX DME Supplier - Physician - Podiatry 6901018506 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2102 Verona Dr
Pearland, TX 77581-4762

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions17
Removal of nail tissue64
Removal or shaving of skin growth24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pan Acea Foot Center, P.a. Podiatrist CurrentSince Feb 1, 2022 Accepting new patients
Apollo Dental Professional Corparation Past Accepting new patients

Locations

8512 Bellaire Blvd
Houston, TX 77036
Phone (281) 788-3610

9896 Bellaire Blvd
Ste H
Houston, TX 77036
Phone (713) 270-8682

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1376567156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 VERONA DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814762",
            "telephone_number": "713-851-9438",
            "fax_number": "713-923-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BELLAIRE BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363496",
            "telephone_number": "713-851-9438",
            "fax_number": "713-923-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 Astoria Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896097",
            "country_code": "US",
            "telephone_number": "713-851-9438",
            "fax_number": "713-723-2292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRANG",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080803201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "680552086",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "0053KD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.