Son Van Nguyen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2085 Issued in TX

Practice address

500 W Main St
Louisville, KY 40202-2946

Phone

(502) 580-1000

NPI assigned

Oct 25, 2006

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: son.nguyen.1@29601.direct.athenahealth.com
• Direct secure messaging: son.nguyen@centerwell.eclinicaldirectplus.com

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.

• Conviva Medical Center Management of Texas, P.a.

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1770988990
  Medicare reassignment Care Compare group
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- Pasadena

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298

  Family Medicine

  Medicare reassignment NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care -Downtown East

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1447717871

  Family Medicine

  NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- DeSoto

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581

  Family Medicine

  NPD
• Tandi Medical Center PA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1861560435
  NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1902981582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "407-533-6836",
            "fax_number": "407-232-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "502-580-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5104 Harrisburg Blvd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770110001",
            "country_code": "US",
            "telephone_number": "832-667-4150",
            "fax_number": "833-853-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K2085",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111888707",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "son.nguyen@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5104 Harrisburg Blvd Ste 800",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770110001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Minh Loc Nguyen, M.D.
• Ngoc Uyen V Nguyen
• Nguyen CHI Nguyen
• Quy Thi Nguyen, DO
• Shannon Sang Nguyen
• Thai Trang T Nguyen, PHARMD
• Thaovy Vo Nguyen, FNP
• Thomas Nguyen, LCSW
• Tiffany Nguyen
• Tony Nguyen, RPH

• Family Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.