Nam Hoai Tran Nguyen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15751 Issued in TX

Practice address

300 Tuskegee Blvd
Dover, DE 19902-5003

Phone

(302) 677-6527

NPI assigned

Apr 26, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nam Hoai Nguyen Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Communitymed PCP

  • Primary Care Clinic/Center
  • Melissa, TX
  • NPI 1063818219
  Medicare reassignment
• Communitymed PLLC

  • Urgent Care Clinic/Center
  • Melissa, TX
  • NPI 1821417072
  Medicare reassignment
• T Off Men'S Health

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1588094593
  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1760126528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 YORKTOWN DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142535",
            "telephone_number": "817-903-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TUSKEGEE BLVD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199025003",
            "telephone_number": "302-677-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN NGUYEN",
        "first_name": "NAM",
        "middle_name": "HOAI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAM",
            "last_name": "NGUYEN",
            "middle_name": "HOAI",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Total Life Counseling
• Makesa A Toure, PMHNP-BC
• Erica Townsend, PT
• TP Indira MD PA
• Brittany Tracy, FNP-C
• Tranquil Moments LLC
• Charlene T Trasser, LCSW
• Amber Monet Travies
• Tri State MRI & Imaging LLC
• Raymond Harrel Tribble, LMSW

• Physician Assistant in Dover, DE
• Providers in Dover, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.