Active NPI
Bay Van Nguyen, MD
- General Practice Physician
- Nassau Bay, TX
National Provider Identifier
1811975477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- E8762
- Practice address
- 2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600 - Phone
- (281) 333-4556
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E8762 | TX | |
| General Practice Physician | 208D00000X | E8762 | TX | Primary |
Addresses
Primary practice location
2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600
Mailing address
2060 Space Park Dr
#114
Nassau Bay, TX 77058-3600
Phone (281) 333-4556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10014783 | Other | AMERIGROUP | |
| 111803601 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091210000074 | TX | Practitioner - General Practice | 6103965892 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of Texas Medical School at San Antonio, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2045 Space Park Dr
Houston, TX 77058-6305
Phone (281) 333-4556
Hospital & facility affiliations
- Houston Methodist Clear Lake Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E8762 | TX | MD | Pediatrics Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1952723967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1811975477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR",
"address_2": "#114",
"city": "NASSAU BAY",
"state": "TX",
"postal_code": "770583600",
"telephone_number": "281-333-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 SPACE PARK DR",
"address_2": "#114",
"city": "NASSAU BAY",
"state": "TX",
"postal_code": "770583600",
"telephone_number": "281-333-4556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAY",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "E8762",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "E8762",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10014783",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111803601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nassau Bay, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.