Individual provider Active NPI

Vinh Lu Nguyen, MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1871756940
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S1877 Issued in TX
Practice address
6918 Wilcrest Dr Ste B
Houston, TX 77072
Phone
(713) 637-9575
NPI assigned
Jul 8, 2008
Last updated
Jun 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA02205 TX
Pediatrics Physician 208000000X S1877 TX Primary

Addresses

Primary practice location

6918 Wilcrest Dr Ste B
Houston, TX 77072

Mailing address

6918 Wilcrest Dr Ste B
Houston, TX 77072-2628
Phone (832) 770-9069

Other practice location 1

11511 Veterans Memorial Dr Ste 300
Houston, TX 77067-2613
Phone (281) 444-7726

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
I20190731002820 TX Practitioner - Pediatric Medicine 1153657903

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S1877TXMDPediatrics Physician
PA02205TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VKND Company LLC Pediatrics CurrentSince Jun 14, 2020 Accepting new patients

Locations

6918 Wilcrest Dr
Ste B
Houston, TX 77072
Phone (713) 637-9575

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1871756940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 WILCREST DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770722628",
            "telephone_number": "832-770-9069",
            "fax_number": "832-672-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 WILCREST DR STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "713-637-9575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11511 Veterans Memorial Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770672613",
            "country_code": "US",
            "telephone_number": "281-444-7726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINH",
        "middle_name": "LU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S1877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.