Individual provider Active NPI

Thuan Khac Nguyen, M.D.

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1841206703
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0353 Issued in TX
Practice address
12609 Louetta Rd
Cypress, TX 77429-5136
Phone
(281) 655-5100
Fax
(281) 655-1415
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0353 TX Primary

Addresses

Primary practice location

12609 Louetta Rd
Cypress, TX 77429-5136

Mailing address

12609 Louetta Rd
Cypress, TX 77429-5136
Phone (281) 655-5100

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
I20101026000204 TX Practitioner - Internal Medicine 8022134170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Michael Medical Clinic P aGroup PAC ID 8729271721, 3 clinicians

Practice addresses (Care Compare)

12609 Louetta Rd
Cypress, TX 77429-5136
Phone (281) 655-5100

Hospital & facility affiliations

  • Tomball Regional Home Health Home health agency, Tomball, TX, CCN 458148
  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Michael Medical Clinic P a Internal Medicine CurrentSince Aug 1, 1998 Accepting new patients
St. Michael Medical Clinic Internal Medicine Past Accepting new patients

Locations

12609 Louetta Rd
Cypress, TX 77429
Phone (281) 469-5252

Interoperability endpoints

  • Direct secure messaging: tnguyen26906@directhoustonmethodist.org

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1841206703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12609 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295136",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12609 LOUETTA RD",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295136",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUAN",
        "middle_name": "KHAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.