Individual provider Active NPI

Tung Dinh Mai, DO

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1659797348
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S5977 Issued in TX
Practice address
8278 Bellaire Blvd Ste a
Houston, TX 77036-4091
Phone
(713) 272-8858
NPI assigned
Mar 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2017010608 MO
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X S5977 TX Primary

Addresses

Primary practice location

8278 Bellaire Blvd Ste a
Houston, TX 77036-4091

Mailing address

8278 Bellaire Blvd Ste a
Houston, TX 77036-4091
Phone (713) 272-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170816003138 MO Practitioner - Hospitalist 4789987017 Reassigns benefits to 1 organization
I20240909004492 TX Practitioner - Internal Medicine 4789987017 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5977TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Integrated Medicine, PA Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Aug 16, 2020 Accepting new patients

Locations

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

8278 Bellaire Blvd
Ste A
Houston, TX 77036
Phone (713) 272-8858

Interoperability endpoints

  • Direct secure messaging: tung.mai.1@3722.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3722/brand/1/csg/1/fhir/r4

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1659797348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8278 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364091",
            "telephone_number": "713-272-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8278 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364091",
            "telephone_number": "713-272-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "TUNG",
        "middle_name": "DINH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2017010608",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S5977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.