Individual provider Active NPI

Huan N Vu, MD

  • Surgical Oncology Physician
  • Tulsa, OK
National Provider Identifier
1558328773
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
J2401 Issued in TX
Practice address
10109 E. 79TH Street
Tulsa, OK 74133
Phone
(918) 286-5000
Fax
(918) 249-7532
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X 0101236999 VA
Surgical Oncology Physician 2086X0206X 73195 CA
Surgical Oncology Physician 2086X0206X 32548 OK
Surgical Oncology Physician 2086X0206X J2401 TX Primary

Addresses

Primary practice location

10109 E. 79TH Street
Tulsa, OK 74133

Mailing address

3506 21St St
Ste 601
Lubbock, TX 79410-1234
Phone (918) 286-5000

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
I20171201001306 TX Practitioner - General Surgery 0648234351 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73195CAMDPharmacist
32548OKMDSurgical Oncology Physician
J2401TXMDSurgical Oncology Physician
0101236999VAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Jan 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients

Locations

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3506 21st St
Ste 601
Lubbock, TX 79410
Phone (806) 722-3610

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1558328773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "STE 601",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101234",
            "telephone_number": "918-286-5000",
            "fax_number": "918-246-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 E. 79TH STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-286-5000",
            "fax_number": "918-249-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "HUAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "VA",
            "license": "0101236999",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "73195",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "OK",
            "license": "32548",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "J2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.