Individual provider Active NPI

Adam Thanh Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lubbock, TX
National Provider Identifier
1891713772
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1827 Issued in TX
Practice address
3702 22ND PL
Lubbock, TX 79410-1320
Phone
(806) 747-4467
Fax
(806) 788-1708
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1827 TX Primary
Sports Medicine Podiatrist 213ES0000X 1827 TX

Addresses

Primary practice location

3702 22ND PL
Lubbock, TX 79410-1320

Mailing address

3702 22ND PL
Lubbock, TX 79410-1320
Phone (806) 747-4467

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000292 TX Practitioner - Podiatry 9931102704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3702 22ND PL
Lubbock, TX 79410-1320
Phone (806) 747-4467

Hospital & facility affiliations

  • Lubbock Heart Hospital LP Hospital, Lubbock, TX, CCN 450876
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue953
Removal or shaving of skin growth812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1827TXMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Foot and Ankle Care PLLC Sports Medicine CurrentSince Sep 19, 2007 Accepting new patients

Locations

3702 22nd Pl
Lubbock, TX 79410
Phone (806) 747-4467

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1891713772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-747-4467",
            "fax_number": "806-788-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101320",
            "telephone_number": "806-747-4467",
            "fax_number": "806-788-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ADAM",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1827",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.