Individual provider Active NPI

Bong Quy Mui, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1487618435
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017070 Issued in LA
Practice address
13480 Veterans Memorial Dr
#R1
Houston, TX 77014-1696
Phone
(281) 587-1600
Fax
(281) 587-1601
NPI assigned
Apr 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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 017070 LA Primary

Addresses

Primary practice location

13480 Veterans Memorial Dr
#R1
Houston, TX 77014-1696

Mailing address

13480 Veterans Memorial Dr
#R1
Houston, TX 77014-1696
Phone (281) 587-1600

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
I20060221000184 TX Practitioner - Family Practice 9335154806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northchase Family Practice ClinicGroup PAC ID 4880944057, 3 clinicians

Practice addresses (Care Compare)

11417 Veterans Memorial Dr
Houston, TX 77067-2601
Phone (713) 955-3919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017070LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Medicine, PA Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Northchase Family Practice Clinic Family Medicine CurrentSince Jan 2, 2019 Accepting new patients

Locations

8278 Bellaire Blvd
Ste A
Houston, TX 77036
Phone (713) 272-8858

11417 Veterans Memorial Dr
Houston, TX 77067
Phone (713) 955-3919

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCDFBD/Endpoint/JCDFBD
  • FHIR API: https://api.platform.athenahealth.com/3722/brand/1/csg/1/fhir/r4

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": "1145059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1487618435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13480 VETERANS MEMORIAL DR",
            "address_2": "#R1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141696",
            "telephone_number": "281-587-1600",
            "fax_number": "281-587-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13480 VETERANS MEMORIAL DR",
            "address_2": "#R1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141696",
            "telephone_number": "281-587-1600",
            "fax_number": "281-587-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI",
        "first_name": "BONG",
        "middle_name": "QUY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-15",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.