Individual provider Active NPI

Doan Khac Nguyen, M.D.

  • Orthopaedic Trauma Physician
  • Houston, TX
National Provider Identifier
1619945896
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
J8690 Issued in TX
Practice address
11301 Fallbrook Dr Ste 100
Houston, TX 77065-4269
Phone
(281) 807-5432
Fax
(281) 807-5437
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J8690 TX
Orthopaedic Trauma Physician 207XX0801X J8690 TX Primary

Addresses

Primary practice location

11301 Fallbrook Dr Ste 100
Houston, TX 77065-4269

Mailing address

11301 Fallbrook Dr Ste 100
Houston, TX 77065-4269
Phone (281) 807-5432

Other identifiers 2

IdentifierTypeStateIssuer
0036EPOtherTXBLUE CROSS BLUE SHIELD TX
030253101MedicaidTX

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
I20050831000686 TX Practitioner - Orthopedic Surgery 1254394828 Reassigns benefits to 2 organizations
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Illinois Medical College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, shared by 9 NPIs, 91 clinicians

Practice addresses (Care Compare)

11301 Fallbrook
Suite 100
Houston, TX 77065-4237
Phone (713) 467-4619

13440 University Blvd
Sugar Land, TX 77479-4909
Phone (281) 277-1330

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Houston, TX, CCN 673134
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • St Luke'S Hospital at the Vintage Hospital, Houston, TX, CCN 670075
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement45
Knee replacement56
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8690TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Baylor College of Medicine CurrentSince Oct 19, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Oct 19, 2015 Accepting new patients
Round Table Physicians Group PLLC Current Accepting new patients
Administrators of the Tulane Education Fund PastSince Jul 31, 2023 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

11103 Westheimer Rd
#C
Houston, TX 77042

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJDBAA/Endpoint/AJDBAA

Organizations & group practices 6

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 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1619945896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654269",
            "telephone_number": "281-807-5432",
            "fax_number": "281-807-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 FALLBROOK DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654269",
            "telephone_number": "281-807-5432",
            "fax_number": "281-807-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DOAN",
        "middle_name": "KHAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J8690",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "TX",
            "license": "J8690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0036EP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030253101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.