Individual provider Active NPI

Huyen Thi Nguyen, M.D.

  • Internal Medicine Physician
  • Live Oak, TX
National Provider Identifier
1629167929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J9241 Issued in TX
Practice address
12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103
Phone
(210) 599-4086
Fax
(210) 655-1401
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J9241 TX Primary

Addresses

Primary practice location

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103

Mailing address

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4103
Phone (210) 599-4086

Other identifiers 1

IdentifierTypeStateIssuer
1486268-01MedicaidTX

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
I20070913000518 TX Practitioner - Internal Medicine 8224122866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Flagship Medical GroupGroup PAC ID 4688050263, 6 clinicians

Practice addresses (Care Compare)

12501 Judson Rd
Suite 202
Live Oak, TX 78233-4117
Phone (210) 599-4086

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flagship Medical Group Internal Medicine CurrentSince Jan 13, 2025 Accepting new patients
Huyen Nguyen MD PA Internal Medicine CurrentSince Feb 4, 2002 Accepting new patients

Locations

12501 Judson Rd
Ste 202
Live Oak, TX 78233
Phone (210) 599-4086

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

7616 Culebra Rd
Ste 130
San Antonio, TX 78251
Phone (210) 509-2603

Interoperability endpoints

  • Direct secure messaging: huyen.nguyen.1@5828.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629167929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-599-4086",
            "fax_number": "210-655-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 JUDSON RD",
            "address_2": "SUITE 202",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782334103",
            "telephone_number": "210-599-4086",
            "fax_number": "210-655-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUYEN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J9241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486268-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.