Individual provider Active NPI

VI Nguyen

  • Podiatrist
  • Austin, TX
National Provider Identifier
1497132401
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2347 Issued in TX
Practice address
5625 Eiger Rd Ste 110
Austin, TX 78735-8978
Phone
(512) 447-4122
Fax
(512) 727-0505
NPI assigned
Apr 28, 2015
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2347 TX Primary

Addresses

Primary practice location

5625 Eiger Rd Ste 110
Austin, TX 78735-8978

Mailing address

5625 Eiger Rd
Ste 110
Austin, TX 78735-8978

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820000686 TX Practitioner - Podiatry 4880943232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Austin Foot and Ankle Clinic, PLLCGroup PAC ID 7719119148, 2 clinicians

Practice addresses (Care Compare)

5625 Eiger Rd
Suite 110
Austin, TX 78735-8978
Phone (512) 447-4122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25
Removal of tissue51
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2347TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Austin Foot & Ankle Clinic, PLLC CurrentSince Aug 1, 2018 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC CurrentSince Aug 1, 2018 Accepting new patients
Southwest Austin Foot & Ankle Clinic, PLLC Past Accepting new patients

Locations

5625 Eiger Rd
Ste 110
Austin, TX 78735
Phone (512) 447-4122

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1497132401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD",
            "address_2": "STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358978",
            "telephone_number": "512-447-4122",
            "fax_number": "512-727-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.