Individual provider Active NPI

Uyen Phuc Nguyen, M.D.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1801188222
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R0770 Issued in TX
Practice address
901 W Ben White Blvd
Austin, TX 78704
Phone
(512) 447-2211
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R0770 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

901 W Ben White Blvd
Austin, TX 78704

Mailing address

2409 McCall Rd
Austin, TX 78703-3025
Phone (714) 917-9220

Other practice location 1

2337 Elden Ave Apt C
Costa Mesa, CA 92627-6512
Phone (714) 917-9220

Other practice location 2

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 447-2211

Other names 1

  • Phuc Uyen Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140811000861 NY Practitioner - Emergency Medicine 1759508054 Reassigns benefits to 1 organization
I20170228001497 TX Practitioner - Emergency Medicine 1759508054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Longhorn Emergency Medical Associates PAGroup PAC ID 4486971041, 149 clinicians

Practice addresses (Care Compare)

901 W Ben White Blvd
St David'S S Austin Ed
Austin, TX 78704-6903
Phone (512) 901-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates of Central Texas PA Emergency Medicine CurrentSince Jun 21, 2022 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

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 1

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1801188222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 MCCALL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787033025",
            "telephone_number": "714-917-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W BEN WHITE BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78704",
            "telephone_number": "512-447-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2337 Elden Ave Apt C",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926276512",
            "country_code": "US",
            "telephone_number": "714-917-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Ben White Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78704",
            "country_code": "US",
            "telephone_number": "512-447-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "UYEN",
        "middle_name": "PHUC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R0770",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUC",
            "last_name": "NGUYEN",
            "middle_name": "UYEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.