Individual provider Active NPI

Tracy Ngoc-Dung Nguyen-Reyes, MD

  • Obstetrics & Gynecology Physician
  • Rowlett, TX
National Provider Identifier
1679929319
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
S5451 Issued in TX
Practice address
9500 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4560
Phone
(972) 520-8000
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X S5451 TX Primary

Addresses

Primary practice location

9500 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4560

Mailing address

9500 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4560
Phone (469) 233-4880

Other practice location 1

4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 215-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnguyenreyes652641@direct.sw.org

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
I20201001000375 TX Practitioner - Obstetrics/Gynecology 5496174096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

6800 Scenic Dr
Suite 1071
Rowlett, TX 75088-4552
Phone (972) 535-2946

9500 Lakeview Pkwy
Suite 200
Rowlett, TX 75088-4560
Phone (972) 475-0960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5451TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Obstetrics & Gynecology Current Accepting new patients
Healthtexas Provider Network Obstetrics & Gynecology CurrentSince Sep 28, 2020 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 28, 2020 Accepting new patients
Lake Pointe Operating Company, LLC Past Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

9500 Lakeview Pkwy
Ste 100
Rowlett, TX 75088
Phone (972) 475-3030

Interoperability endpoints

  • Direct secure messaging: tnguyenreyes652641@direct.sw.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1679929319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 LAKEVIEW PKWY STE 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884560",
            "telephone_number": "469-233-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 LAKEVIEW PKWY STE 100",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884560",
            "telephone_number": "972-520-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-215-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-REYES",
        "first_name": "TRACY",
        "middle_name": "NGOC-DUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "S5451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnguyenreyes652641@direct.sw.org",
            "affiliation": "N",
            "address_1": "9500 Lakeview Pkwy Ste 100",
            "city": "Rowlett",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750884560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.