Individual provider Active NPI

Johnny Phuong Van Mai, M.D.

  • Otolaryngology Physician
  • The Woodlands, TX
National Provider Identifier
1669738787
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
R8234 Issued in TX
Practice address
9301 Pinecroft Dr Ste 100
The Woodlands, TX 77380-3178
Phone
(281) 364-1001
Fax
(281) 364-9095
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X R8234 TX Primary

Addresses

Primary practice location

9301 Pinecroft Dr Ste 100
The Woodlands, TX 77380-3178

Mailing address

20631 Kuykendahl Rd Ste 100
Spring, TX 77379-3318
Phone (281) 453-1001

Other practice location 1

23543 Kingsland Blvd Ste 100
Katy, TX 77494-3962
Phone (281) 693-0084

Other practice location 2

20631 Kuykendahl Rd Ste 100
Spring, TX 77379
Phone (281) 453-1001

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
I20181217001329 TX Practitioner - Otolaryngology 2466751094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

9301 Pinecroft Dr
Suite 100
Spring, TX 77380-3178
Phone (281) 364-1001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R8234TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & ENT Associates, PLLC CurrentSince Sep 10, 2018 Accepting new patients
Allergy & ENT Associates, PLLC Current Accepting new patients
Austin Family Allergy & Asthma, PA CurrentSince Sep 10, 2018 Accepting new patients

Locations

14800 Frye Rd
Fl 2
Ft Worth, TX 76155

23543 Kingsland Blvd
Ste 100
Katy, TX 77494
Phone (281) 693-0084

9223 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 412-7111

20631 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 453-1001

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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 7

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1669738787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20631 KUYKENDAHL RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793318",
            "telephone_number": "281-453-1001",
            "fax_number": "281-803-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 PINECROFT DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803178",
            "telephone_number": "281-364-1001",
            "fax_number": "281-364-9095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23543 Kingsland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774943962",
            "country_code": "US",
            "telephone_number": "281-693-0084",
            "fax_number": "281-693-0093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20631 Kuykendahl Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "77379",
            "country_code": "US",
            "telephone_number": "281-453-1001",
            "fax_number": "281-803-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAI",
        "first_name": "JOHNNY",
        "middle_name": "PHUONG VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "R8234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.