Active NPI
Peter T Ngo, M.D.
- Specialist
- Laredo, TX
National Provider Identifier
1417918525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L1952
- Practice address
- 1710 E Saunders St
Suite B350
Laredo, TX 78041-5443 - Phone
- (956) 712-9171
- Fax
- (956) 712-9402
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | L1952 | TX | Primary |
Addresses
Primary practice location
1710 E Saunders St
Suite B350
Laredo, TX 78041-5443
Mailing address
PO Box 3289
Laredo, TX 78044-3289
Phone (956) 712-9171
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AJ142 | Other | TX | BLUE CROSS/BLUE SHIELD |
| 146975104 | Medicaid | TX | |
| P00071030 | Other | TX | PALMETTO GBA(MEDICARE RAILROAD) |
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 |
|---|---|---|---|---|
| I20090224000540 | TX | Practitioner - Endocrinology | 5597774042 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Clinic of Muskogee, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4
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.
-
- Internal Medicine Physician
- Muskogee, OK
- NPI 1053380287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1417918525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3289",
"city": "LAREDO",
"state": "TX",
"postal_code": "780443289",
"telephone_number": "956-712-9171",
"fax_number": "956-712-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 E SAUNDERS ST",
"address_2": "SUITE B350",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415443",
"telephone_number": "956-712-9171",
"fax_number": "956-712-9402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "PETER",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "L1952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "8AJ142",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146975104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA(MEDICARE RAILROAD)",
"identifier": "P00071030",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.