Khanh Nguyen, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L8864 Issued in TX

Practice address

1245 Yale St Unit a
Houston
Houston, TX 77008-6959

Phone

(832) 645-3337

Fax

(832) 201-6932

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Texas Medical School at Houston, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Premier Derm Center, PLLC

  • Specialist
  • Houston, TX
  • NPI 1225360050
  Medicare reassignment NPD Authorized official
• Axis Rehab Chiropractic PC

  • Chiropractor
  • Houston, TX
  • NPI 1154357507
  NPD (past)
• Carl B, Rountree, M.D. & Associates

  • Dermatopathology Physician
  • Houston, TX
  • NPI 1598929788
  NPD (past)
• Aesthetic Dermatology & Cosmetic Surgery Medical Associates, Inc

  • Dermatology Physician
  • Mill Valley, CA
  • NPI 1639162480
  NPD (past)
• California Pacific Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Kathy Fang, MD, PHD, Inc.

  • Specialist
  • El Cerrito, CA
  • NPI 1447370853
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1487675898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 YALE ST UNIT A",
            "address_2": "HOUSTON",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086959",
            "telephone_number": "832-645-3337",
            "fax_number": "832-201-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 YALE ST UNIT A",
            "address_2": "HOUSTON",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086959",
            "telephone_number": "832-645-3337",
            "fax_number": "832-201-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L8864",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A87643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "613930",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Nguyen
• Kevin Khoa Nguyen
• Kevin Minh Nguyen
• Kha Nguyen, PHARM D
• Khanh Nguyen
• Khanh Nguyen
• Khanh Duy Nguyen, DDS
• Khanh Duy Nguyen
• Khanh Gia Nguyen
• Khanh Hoang Thuy Nguyen

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.