Individual provider Active NPI

Huy Duc Nguyen, M.D.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1386900041
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6077 Issued in TX
Practice address
3465 W Walnut St Ste 225
Garland, TX 75042-7140
Phone
(972) 272-7816
NPI assigned
Apr 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q6077 TX Primary

Addresses

Primary practice location

3465 W Walnut St Ste 225
Garland, TX 75042-7140

Mailing address

3465 W Walnut St Ste 225
Garland, TX 75042-7140
Phone (972) 272-7816

Other practice location 1

47 New Scotland Ave
Department of Family Medicine
Albany, NY 12208-3412
Phone (518) 213-0336

Other identifiers 1

IdentifierTypeStateIssuer
355139201MedicaidTX

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
I20160114000405 TX Practitioner - Family Practice 1456653047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3465 W Walnut St
Suite 225
Garland, TX 75042-7140
Phone (972) 272-7816

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6077TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Famicare Clinic, PA CurrentSince Nov 28, 2015 Accepting new patients
Famicare Clinic Family Medicine PastSince Oct 2, 2022 Accepting new patients

Locations

3465 W Walnut St
Ste 225
Garland, TX 75042
Phone (972) 272-7816

Interoperability endpoints

  • Direct secure messaging: huyd.nguyen@fcg.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCCCA/Endpoint/IFCCCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCCCA

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1386900041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 W WALNUT ST STE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427140",
            "telephone_number": "972-272-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 W WALNUT ST STE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750427140",
            "telephone_number": "972-272-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-213-0336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUY",
        "middle_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-07",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355139201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.