Diana Kim Nguyen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L0877 Issued in TX

Practice address

3005 E Renner Rd
Suite 100
Richardson, TX 75082-3573

Phone

(972) 699-0000

Fax

(972) 699-0004

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Texas Southwestern Medical School at Dallas, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists, PAGroup PAC ID 8527011857, 5 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AJJJAA
• Direct secure messaging: dnguyen@dermspecialiststx.emadirect.md

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.

• Dermatology Specialists, PA

  • Dermatology Physician
  • Richardson, TX
  • NPI 1992813570
  Medicare reassignment Care Compare group NPD
• Dermatology Center of Plano

  • Dermatology Physician
  • Plano, TX
  • NPI 1992868426
  NPD (past)
• Nicole Reed Medical, PLLC

  • Dermatology Physician
  • Plano, TX
  • NPI 1013155480
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1750385688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E RENNER RD",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75082",
            "telephone_number": "972-699-0000",
            "fax_number": "972-699-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 E RENNER RD",
            "address_2": "SUITE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823573",
            "telephone_number": "972-699-0000",
            "fax_number": "972-699-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "middle_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L0877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802791",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huy Nguyen-Khoa, DPM
• Benjamin Nguyen, M.D.
• Cam Quyen Nguyen, PHARM.D
• Catherine Nguyen
• Christopher Minh Nguyen, DO
• DO T Nguyen, DC
• Dona Ribin Nguyen, LPC
• Erica Nguyen, FNP-C
• Frederic Nha Nguyen, M.D.
• Hao Nguyen, MD

• Dermatology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.