Organization Active NPI

Khiem Vu Dopa

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1689960734
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9325 Issued in TX
Legal business name
KHIEM VU DOPA
Practice address
2700 Citizens Plaza,
Suite 400
Victoria, TX 77901
Phone
(361) 582-5777
NPI assigned
Jun 27, 2011
Last updated
Jun 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Authorized official

Name
Khiem Quynh Vu, D.O.NPI 1043500598
Title
Owner
Phone
(361) 582-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N9325 TX Primary

Addresses

Primary practice location

2700 Citizens Plaza,
Suite 400
Victoria, TX 77901

Mailing address

2700 Citizens Plaza,
Suite 400
Victoria, TX 77901
Phone (361) 582-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110910002892 TX Part B Supplier - Clinic/Group Practice 3072784669 Receives reassigned benefits from 2 practitioners
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1689960734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLAZA,",
            "address_2": "SUITE 400",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-582-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLAZA,",
            "address_2": "SUITE 400",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77901",
            "telephone_number": "361-582-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHIEM VU DOPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KHIEM",
        "authorized_official_middle_name": "QUYNH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-582-5777",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.