Individual provider Active NPI

Thu Cao Nguyen, DPM

  • Podiatrist
  • Fort Worth, TX
National Provider Identifier
1720098221
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX1615 Issued in TX
Practice address
1617 N Beach St
Fort Worth, TX 76111-6617
Phone
(817) 831-7800
Fax
(817) 831-7303
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX1615 TX Primary

Addresses

Primary practice location

1617 N Beach St
Fort Worth, TX 76111-6617

Mailing address

1617 N Beach St
Fort Worth, TX 76111-6617
Phone (817) 831-7800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000107 TX Practitioner - Podiatry 1850316183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1617 N Beach St
Fort Worth, TX 76111-6617
Phone (817) 831-7800

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue262
Removal of nail tissue2469
Removal or shaving of skin growth618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1615TXMDMarriage & Family Therapist
TX1615TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Family Foot Care PA Podiatrist CurrentSince Apr 27, 2004 Accepting new patients
Visiting Physician'S Network, Inc PastSince Feb 10, 2014 Accepting new patients
Valley Mills Nursing and Rehabilitation LP Past Accepting new patients
Lake Shore Center for Psychological Services, P.C. Past Accepting new patients

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1720098221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116617",
            "telephone_number": "817-831-7800",
            "fax_number": "817-831-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761116617",
            "telephone_number": "817-831-7800",
            "fax_number": "817-831-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THU",
        "middle_name": "CAO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.