Individual provider Active NPI

Kim Phung Le Nguyen, M.D.

  • Nephrology Physician
  • Kingwood, TX
National Provider Identifier
1609253202
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S6263 Issued in TX
Practice address
23814 Highway 59 N
Kingwood, TX 77339-1510
Phone
(281) 312-5558
Fax
(281) 727-0827
NPI assigned
May 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X S6263 TX Primary

Addresses

Primary practice location

23814 Highway 59 N
Kingwood, TX 77339-1510

Mailing address

23814 Highway 59 N
Kingwood, TX 77339-1510
Phone (281) 312-5558

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
I20200810000630 TX Practitioner - Internal MedicinePractitioner - Nephrology 0345665287 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-1000

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • Ascension Seton Southwest Hospital, Austin, TX, CCN 450865
  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

Merit-based Incentive Payment System (MIPS)

Final score
75.55 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA CurrentSince Jul 1, 2021 Accepting new patients
Greater Houston Kidney Clinic PA Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Lonestar Pat Associates PA CurrentSince Aug 1, 2025 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Nephrology CurrentSince Aug 1, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Sep 16, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Noble Healthcare Associates PA CurrentSince Feb 1, 2024 Accepting new patients

Locations

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

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

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

202 E Fort Worth St
Cleveland, TX 77327
Phone (281) 659-9679

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

10655 Eastex Fwy
Houston, TX 77093
Phone (713) 695-8986

18760 Highway 59 N
Ste 100
Humble, TX 77338
Phone (281) 312-5558

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

23814 Highway 59 N
Kingwood, TX 77339
Phone (281) 312-5558

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

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

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

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 7

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 4

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": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1609253202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23814 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391510",
            "telephone_number": "281-312-5558",
            "fax_number": "281-727-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23814 HIGHWAY 59 N",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391510",
            "telephone_number": "281-312-5558",
            "fax_number": "281-727-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM PHUNG",
        "middle_name": "LE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S6263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.