Individual provider Active NPI

Khanh Tung Nguyen, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1548209703
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5908 Issued in TX
Practice address
7000 North Mopac
Suite #420
Austin, TX 78731
Phone
(512) 482-0045
Fax
(512) 476-9892
NPI assigned
Jun 5, 2006
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A75826 CA
Internal Medicine Physician 207R00000X N5908 TX Primary

Addresses

Primary practice location

7000 North Mopac
Suite #420
Austin, TX 78731

Mailing address

7000 North Mopac
Suite #420
Austin, TX 78731
Phone (512) 482-0045

Other identifiers 2

IdentifierTypeStateIssuer
036098127MedicaidIL
833120OtherILMEDICARE GROUP PTAN

Other names 1

  • Khanh Tung Nguyen Professional name

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
I20101104000293 TX Practitioner - Internal Medicine 6103810221 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5908TXMDInternal Medicine Physician
A75826CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health Medical Group LLC Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Cogent Healthcare of Illinois, LLC Internal Medicine Past Accepting new patients
East Bay Hospitalists, a Medical Corporation Hospitalist PastSince Jun 22, 2010 Accepting new patients

Locations

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1548209703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANH",
        "middle_name": "TUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A75826",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098127",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "833120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHANH",
            "last_name": "NGUYEN",
            "middle_name": "TUNG",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.