Active NPI
Vinh Lu Nguyen, MD
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1871756940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S1877
- Practice address
- 6918 Wilcrest Dr Ste B
Houston, TX 77072 - Phone
- (713) 637-9575
- NPI assigned
- Jul 8, 2008
- Last updated
- Jun 11, 2020
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190731002820 | TX | Practitioner - Pediatric Medicine | 1153657903 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1877 | TX | MD | Pediatrics Physician |
| PA02205 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VKND Company LLC | Pediatrics | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.