Active NPI
Nathan Vietnam Nguyen, M.D.
- Family Medicine Physician
- Cedar Hill, TX
National Provider Identifier
1487971719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- P2150
- Practice address
- 345 N Highway 67
Cedar Hill, TX 75104-2134 - Phone
- (972) 956-5300
- NPI assigned
- Apr 26, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | P2150 | TX | Primary |
Addresses
Primary practice location
345 N Highway 67
Cedar Hill, TX 75104-2134
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
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 |
|---|---|---|---|---|
| I20130308000424 | TX | Practitioner - Family Practice | 9739334178 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2150 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Integrated Health, PLLC | Current | Accepting new patients | |
| Integrative Medical Group of Texas | Past | Accepting new patients | |
| North Dallas Medical Group, PLLC | Family Medicine | Past | Accepting new patients |
| Primary Health Physicians, PLLC | Past | Accepting new patients | |
| Ceo Telemed | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- nathan.nguyen@63620886167556.direct.elationemr.com
- nnguyen25681@innovista.gardenplot.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Sunnyvale, TX
- NPI 1396380515
-
- Family Medicine Physician
- Addison, TX
- NPI 1396626057
-
- General Practice Physician
- Austin, TX
- NPI 1225685712
-
dba InnovareTx Regenerative & Wellness Clinic
- Multi-Specialty Clinic/Center
- Addison, TX
- NPI 1790005734
Family Medicine
-
- Urgent Care Clinic/Center
- Denton, TX
- NPI 1770048704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470096000000",
"number": "1487971719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9101",
"city": "COPPELL",
"state": "TX",
"postal_code": "750199494",
"telephone_number": "972-745-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N HIGHWAY 67",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042134",
"telephone_number": "972-956-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NATHAN",
"middle_name": "VIETNAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2016-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P2150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.