NPIMap

Individual provider Active NPI

Quang Dang Bui, MD

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1518954049
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7994 Issued in TX
Practice address
11619 Shadow Creek Pkwy # 110
Pearland, TX 77584-7262
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Sep 30, 2005
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 L7994 TX Primary

Addresses

Primary practice location

11619 Shadow Creek Pkwy # 110
Pearland, TX 77584-7262

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address quang.bui.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025000459 TX Practitioner - Family Practice 6305829334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

6122 Broadway St
Suite 100
Pearland, TX 77581-7804
Phone (346) 398-7252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7994TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince May 30, 2017 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Feb 8, 2023 Accepting new patients
Suncoast Medical Group Inc Past Accepting new patients
Southwest Doctors PA Past Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

9235 Katy Fwy
Ste 400
Houston, TX 77024
Phone (346) 980-2701

11619 Shadow Creek Pkwy
#110
Pearland, TX 77584
Phone (346) 646-3481

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

6122 Broadway St
Ste 100
Pearland, TX 77581

15200 Southwest Fwy
Ste 175
Sugar Land, TX 77478
Phone (281) 494-0550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4066/brand/1/csg/1/fhir/r4
  • Direct secure messaging: quang.bui.1@13711.direct.athenahealth.com

Organizations & group practices 4

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 9

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1518954049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11619 SHADOW CREEK PKWY # 110",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847262",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "QUANG",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "quang.bui.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "11619 Shadow Creek Pkwy # 110",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.