Individual provider Active NPI

Johnny Khoa Nguyen, DO

  • Allergy & Immunology (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1467834572
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
S9947 Issued in TX
Practice address
9717 Jones Rd Ste 200
Houston, TX 77065-4303
Phone
(832) 688-9463
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X OS15310 FL
General Practice Physician 208D00000X OS15310 FL
Allergy & Immunology (Internal Medicine) Physician 207RA0201X S9947 TX Primary

Addresses

Primary practice location

9717 Jones Rd Ste 200
Houston, TX 77065-4303

Mailing address

9717 Jones Rd # 200
Houston, TX 77065-4303
Phone (326) 889-4638

Other practice location 1

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 420-8555

Other names 1

  • Khoa Nguyen Other name

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
I20230328002145 TX Practitioner - Internal MedicinePractitioner - Allergy/Immunology 9234475310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9717 Jones Rd
Suite 200
Houston, TX 77065-4303
Phone (832) 688-9463

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Allergy & Asthma PA CurrentSince Mar 15, 2023 Accepting new patients
Houston Comprehensive Rheumatology CurrentSince Mar 19, 2023 Accepting new patients

Locations

9717 Jones Rd
Ste 200
Houston, TX 77065
Phone (832) 688-9463

9717 Jones Rd
#200
Houston, TX 77065
Phone (832) 688-9463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIBDD/Endpoint/GFIBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFAIBD

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1467834572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 JONES RD # 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654303",
            "telephone_number": "326-889-4638",
            "fax_number": "326-889-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 JONES RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654303",
            "telephone_number": "832-688-9463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 Palm Beach Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "33409",
            "country_code": "US",
            "telephone_number": "561-420-8555",
            "fax_number": "561-420-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOHNNY",
        "middle_name": "KHOA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2023-03-15",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "FL",
            "license": "OS15310",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS15310",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "S9947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHOA",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.