Active NPI
Cuong Ta Nguyen, MD
- Pediatrics Physician
- Round Rock, TX
National Provider Identifier
1851349096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- K3805
- Practice address
- 1505 Greenside Dr
Round Rock, TX 78665-1259 - Phone
- (404) 431-0869
- NPI assigned
- May 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | K3805 | TX | Primary |
Addresses
Primary practice location
1505 Greenside Dr
Round Rock, TX 78665-1259
Mailing address
1505 Greenside Dr
Round Rock, TX 78665-1259
Phone (404) 431-0869
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive | Current | Accepting new patients | |
| Emergency Pediatric Physician MGMT LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Chinle Comprehensive Health Care Facility
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
dba Chinle Comprehenive Health Care Facility
- Ambulatory Surgical Clinic/Center
- Chinle, AZ
- NPI 1922253129
-
dba Rock Point Field Clinic
- General Acute Care Hospital
- Rock Point, AZ
- NPI 1154344133
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- San Antonio, TX
- NPI 1508814385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1851349096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 GREENSIDE DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651259",
"telephone_number": "404-431-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 GREENSIDE DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786651259",
"telephone_number": "404-431-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "CUONG",
"middle_name": "TA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K3805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.