Active NPI
Viet Phuong, MD
- Surgery Physician
- Tomball, TX
National Provider Identifier
1679728604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- Q0537
- Practice address
- 11609 Spring Cypress Rd Ste C
Tomball, TX 77377-8917 - Phone
- (281) 290-6300
- Fax
- (281) 290-6302
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2013-00042 | NC | |
| Surgery Physician | 208600000X | 57.015102 | OH | |
| Surgery Physician | 208600000X | Q0537 | TX | Primary |
Addresses
Primary practice location
11609 Spring Cypress Rd Ste C
Tomball, TX 77377-8917
Mailing address
11609 Spring Cypress Rd Ste C
Tomball, TX 77377-8917
Phone (281) 290-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679728604 | Medicaid | NC | |
| NC1848 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Texas Southwestern Medical School at Dallas, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11609 Spring Cypress Rd
Suite C
Tomball, TX 77377-8917
Phone (281) 290-6300
Hospital & facility affiliations
- Houston Methodist Cypress Hospital
- Houston Methodist Willowbrook Hospital
- HCA Houston Healthcare Kingwood
- St Luke'S the Woodlands Hospital
- HCA Houston Healthcare Tomball
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.015102 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Surgical Association | Surgery | Current | Accepting new patients |
Locations
11609 Spring Cypress Rd
Ste C
Tomball, TX 77377
Phone (281) 290-6300
Interoperability endpoints
- viet.phuong.1@9148.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.
-
- Surgery Physician
- Tomball, TX
- NPI 1932789765
-
- Surgery Physician
- Tomball, TX
- NPI 1649123472
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Tomball, TX
- NPI 1750819025
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1942208616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1679728604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11609 SPRING CYPRESS RD STE C",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778917",
"telephone_number": "281-290-6300",
"fax_number": "281-290-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11609 SPRING CYPRESS RD STE C",
"city": "TOMBALL",
"state": "TX",
"postal_code": "773778917",
"telephone_number": "281-290-6300",
"fax_number": "281-290-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUONG",
"first_name": "VIET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2013-00042",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.015102",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "Q0537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679728604",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1848",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomball, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.