Individual provider Active NPI

Son K. Nguyen, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
National Provider Identifier
1619930799
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G9040 Issued in TX
Practice address
1120A Dennis St
Houston, TX 77004-1102
Phone
(713) 759-0932
Fax
(713) 759-0966
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G9040 TX Primary

Addresses

Primary practice location

1120A Dennis St
Houston, TX 77004-1102

Mailing address

1120 Dennis St
Houston, TX 77004-1102
Phone (713) 759-0932

Other identifiers 3

IdentifierTypeStateIssuer
F0060620OtherTXDPS
G9040OtherTXMEDICAL LICENSE
117862601MedicaidTX

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
I20040722000200 TX Practitioner - AnesthesiologyPractitioner - Pain Management 3678553526 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Pain Medicine CurrentSince Feb 1, 2012 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care PA CurrentSince Jul 16, 2018 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

1000 N Post Oak Rd
Bldg G
Houston, TX 77055
Phone (713) 686-4868

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619930799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DENNIS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770041102",
            "telephone_number": "713-759-0932",
            "fax_number": "713-759-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120A DENNIS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770041102",
            "telephone_number": "713-759-0932",
            "fax_number": "713-759-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "G9040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "F0060620",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G9040",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117862601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.