Jimmy Tri Nguyen, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT016853 Issued in PA

Practice address

21800 Katy Fwy Ste 240
Katy, TX 77449-7781

Phone

(346) 387-7001

Fax

(346) 387-7002

NPI assigned

Dec 14, 2015

Last updated

Jul 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medicine Specialists of Texas, PLLCGroup PAC ID 1557625662, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Family Medicine Specialists of Texas, PLLC

  • Family Medicine Physician
  • Katy, TX
  • NPI 1558877944
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  dba Memorial Hermann Katy Hospital

  • General Acute Care Hospital
  • Katy, TX
  • NPI 1932152337
  Care Compare affiliation

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1568827798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497781",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 KATY FWY STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497781",
            "telephone_number": "346-387-7001",
            "fax_number": "346-387-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JIMMY",
        "middle_name": "TRI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huy Nguyen
• Hy Nguyen
• Irene Hien Nguyen
• Jackie Nguyen, PHARMD
• Jason Ngoc Lam Nguyen, O.D.
• Kara Nguyen
• Kha Lienbao Nguyen, PTA
• Kien Anh Nguyen
• Kim Nguyen, RPH
• Kimberly Nguyen, DC

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.