Individual provider Active NPI

Khanh Hong Ngo, PAC

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1740228246
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA03452 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2096
Phone
(972) 280-0080
Fax
(972) 280-0081
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA03452 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2096

Mailing address

PO Box 1145
Euless, TX 76039-1145
Phone (792) 280-0080

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000117 TX Practitioner - Physician Assistant 8224015383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 882-2000

1608 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 685-4000

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7777

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 336-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Services of Texas L.L.P CurrentSince Feb 9, 2004 Accepting new patients
Edson H Cheung MD PA Past Accepting new patients
A Carl Henry MD PA PastSince Dec 1, 2024 Accepting new patients

Locations

1608 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7700

3500 Gaston Ave
Dallas, TX 75246

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1740228246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760391145",
            "telephone_number": "792-280-0080",
            "fax_number": "972-280-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462096",
            "telephone_number": "972-280-0080",
            "fax_number": "972-280-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KHANH",
        "middle_name": "HONG",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.