Individual provider Active NPI

NA Ly Vang, D.O.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1518399344
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7223 Issued in TX
Practice address
2619 Sunday House Dr
Pearland, TX 77584-2875
Phone
(832) 455-1646
NPI assigned
Aug 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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 P7223 TX Primary

Addresses

Primary practice location

2619 Sunday House Dr
Pearland, TX 77584-2875

Mailing address

2619 Sunday House Dr
Pearland, TX 77584-2875
Phone (832) 455-1646

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
I20141202002187 TX Practitioner - Family Practice 6002138021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rudolph Medical Associates PA.Group PAC ID 9335193762, 3 clinicians

Practice addresses (Care Compare)

12924 Bellaire Blvd
Suite 100
Houston, TX 77072-5132
Phone (713) 457-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7223TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rudolph Medical Associates, PA CurrentSince Aug 9, 2024 Accepting new patients

Locations

12924 Bellaire Blvd
Ste 100
Houston, TX 77072
Phone (713) 457-2300

Interoperability endpoints

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

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1518399344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SUNDAY HOUSE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842875",
            "telephone_number": "832-455-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SUNDAY HOUSE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842875",
            "telephone_number": "832-455-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "NA",
        "middle_name": "LY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.