Individual provider Active NPI

Khang Duy Nguyen, M.D.

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1548608599
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R2932 Issued in TX
Practice address
5323 Harry Hines Blvd
Dallas, TX 75390-9069
Phone
(214) 645-2400
Fax
(214) 645-2405
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R2932 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Dallas, TX 75390-9069

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-9069
Phone (214) 645-2400

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
I20170804003035 TX Practitioner - Dermatology 6507090966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Harvard Medical School, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1705 E 11TH St
Austin, TX 78702-2709
Phone (512) 978-9600

313 E 12TH St
103 Tri County Prac Assoc
Austin, TX 78701-1955
Phone (512) 324-9650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions30
Skin biopsy26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2932TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jun 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2017 Accepting new patients
Central Texas Community Health Centers Dermatology CurrentSince Sep 25, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Dermatology CurrentSince Sep 1, 2017 Accepting new patients
Seton Family of Doctors CurrentSince Jun 1, 2022 Accepting new patients
Central Texas Community Health Centers CurrentSince Sep 25, 2025 Accepting new patients
Seton/Ut Southwestern University Physicians Group PastSince Jun 1, 2022 Accepting new patients

Locations

313 E 12th St
Ste 101
Austin, TX 78701
Phone (512) 324-9650

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

313 E 12th St
Ste 103
Austin, TX 78701
Phone (512) 324-9650

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

6263 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 648-3085

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: khang.nguyen.1@8363.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1548608599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909069",
            "telephone_number": "214-645-2400",
            "fax_number": "214-645-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909069",
            "telephone_number": "214-645-2400",
            "fax_number": "214-645-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHANG",
        "middle_name": "DUY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R2932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.