Individual provider Active NPI

Mai V Hoang, MD

  • Family Medicine Physician
  • Haltom City, TX
National Provider Identifier
1801982335
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7766 Issued in TX
Practice address
4045 E Belknap St
#12
Haltom City, TX 76111-6638
Phone
(817) 759-2315
Fax
(817) 759-2316
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7766 TX Primary

Addresses

Primary practice location

4045 E Belknap St
#12
Haltom City, TX 76111-6638

Mailing address

4045 E Belknap St Ste 12
Haltom City, TX 76111-6637
Phone (817) 759-2315

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
I20040406000538 TX Practitioner - Family Practice 4587657572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

4045 E Belknap St
Suite 12
Haltom City, TX 76111-6637
Phone (817) 759-2315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methealth PA Family Medicine CurrentSince Jan 22, 2016 Accepting new patients
Strategic Medical Group TX PLLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

4045 E Belknap St
Haltom City, TX 76111
Phone (682) 707-9400

4045 E Belknap St
Ste 12
Haltom City, TX 76111
Phone (817) 759-2315

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1801982335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELKNAP ST STE 12",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116637",
            "telephone_number": "817-759-2315",
            "fax_number": "817-759-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E BELKNAP ST",
            "address_2": "#12",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761116638",
            "telephone_number": "817-759-2315",
            "fax_number": "817-759-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MAI",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haltom City, TX

Sources for this page

Verify at the official NPI Registry.