Individual provider Active NPI

Peter V Nguyen, MD

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1790709285
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L3769 Issued in TX
Practice address
203 W Randol Mill Rd
Arlington, TX 76011-5857
Phone
(817) 877-5858
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L3769 TX
Nephrology Physician 207RN0300X L3769 TX Primary

Addresses

Primary practice location

203 W Randol Mill Rd
Arlington, TX 76011-5857

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other practice location 1

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other practice location 2

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone (817) 877-5858

Other identifiers 2

IdentifierTypeStateIssuer
1790709285MedicaidTX
8U1251OtherTXBLUE CROSS

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
I20050809001125 TX Practitioner - NephrologyPractitioner - Internal Medicine 1052340080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Health PAGroup PAC ID 7113904657, 32 clinicians
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone (817) 877-5907

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St
Suite 3200
Fort Worth, TX 76104-7669
Phone (817) 702-8400

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

Hospital & facility affiliations

  • Usrc Fort Worth Dialysis facility, Fort Worth, TX, CCN 452579
  • USRC Arlington Dialysis facility, Arlington, TX, CCN 452580
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
PPG Health, PA Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients

Locations

203 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 275-7787

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

1001 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 618-9997

500 Lipscomb St
Ft Worth, TX 76104
Phone (817) 870-2616

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

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 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1790709285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "817-877-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Cannon St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761043029",
            "country_code": "US",
            "telephone_number": "817-877-5858",
            "fax_number": "817-877-1308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042228",
            "country_code": "US",
            "telephone_number": "817-877-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3769",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790709285",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8U1251",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.