Individual provider Active NPI

Phuc D Nguyen, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1720013626
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8454 Issued in TX
Practice address
6410 Fannin St Ste 170
Houston, TX 77030-3003
Phone
(832) 325-6500
Fax
(713) 512-2236
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8454 TX Primary

Addresses

Primary practice location

6410 Fannin St Ste 170
Houston, TX 77030-3003

Mailing address

6410 Fannin St Ste 170
Houston, TX 77030-3003
Phone (832) 325-6500

Other practice location 1

4755 Aldine Mail Route Rd
Houston, TX 77039-5934
Phone (281) 985-7615

Other practice location 2

818 Ringold St
Houston, TX 77088-6368
Phone (281) 260-3417

Other identifiers 2

IdentifierTypeStateIssuer
8G3607OtherTXBCBS
166148001MedicaidTX

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
I20040804001684 TX Practitioner - Family Practice 4284605916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut Physicians Specialty ServicesGroup PAC ID 2567544570, 83 clinicians

Practice addresses (Care Compare)

6410 Fannin St
Suite 170
Houston, TX 77030-3003
Phone (832) 325-6500

Hospital & facility affiliations

  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Harris Health Hospital, Houston, TX, CCN 450289

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
Ut Physicians Specialty Services Family Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

818 Ringold St
Houston, TX 77088
Phone (281) 260-3443

6410 Fannin St
Ste 170
Houston, TX 77030
Phone (713) 704-6500

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6410 Fannin St
Ste 230
Houston, TX 77030
Phone (713) 704-3961

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

4755 Aldine Mail Rte
Houston, TX 77039
Phone (281) 985-7600

Interoperability endpoints

  • Direct secure messaging: pnguyen13955@direct.uth.org

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.

Hospital & facility affiliations 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1720013626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303003",
            "telephone_number": "832-325-6500",
            "fax_number": "713-512-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST STE 170",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303003",
            "telephone_number": "832-325-6500",
            "fax_number": "713-512-2236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 Aldine Mail Route Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770395934",
            "country_code": "US",
            "telephone_number": "281-985-7615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Ringold St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770886368",
            "country_code": "US",
            "telephone_number": "281-260-3417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUC",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G3607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166148001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.