Individual provider Active NPI

Nathan Vietnam Nguyen, M.D.

  • Family Medicine Physician
  • Cedar Hill, TX
National Provider Identifier
1487971719
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2150 Issued in TX
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

Updated by the provider on Aug 2, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000424 TX Practitioner - Family Practice 9739334178

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P2150TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Align Integrated Health, PLLC CurrentSince Oct 14, 2019 Accepting new patients
Integrative Medical Group of Texas PastSince Apr 30, 2020 Accepting new patients
North Dallas Medical Group, PLLC Family Medicine Past Accepting new patients
Primary Health Physicians, PLLC PastSince Oct 1, 2024 Accepting new patients
Ceo Telemed Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathan.nguyen@63620886167556.direct.elationemr.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.