NPIMap

Individual provider Active NPI

Trung Hieu Nguyen, MD

  • Internal Medicine Physician
  • Marshall, TX
National Provider Identifier
1932307766
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N6537 Issued in TX
Practice address
811 S Washington Ave
Marshall, TX 75670-5336
Phone
(903) 315-1488
Fax
(903) 315-1656
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9406784 KS
Internal Medicine Physician 207R00000X N6537 TX Primary

Addresses

Primary practice location

811 S Washington Ave
Marshall, TX 75670-5336

Mailing address

PO Box 4207
Longview, TX 75606-4207
Phone (903) 315-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514000069 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8224152541 Reassigns benefits to 3 organizations
Practice locations: Longview, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Brody School of Medicine at East Carolina University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

705 E Marshall Ave
Suite 1004 Wound Care
Longview, TX 75601-5573
Phone (903) 315-3880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9406784KSMDInternal Medicine Physician
N6537TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jun 7, 2017 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jun 7, 2017 Accepting new patients
Longview Internal Medicine Physicians PLLC Internal Medicine CurrentSince Jan 15, 2020 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Aug 12, 2024 Accepting new patients
Continuecare Hospital of Tyler, Inc. Past Accepting new patients

Locations

1600 Broadway Ave
Gladewater, TX 75647
Phone (903) 315-5630

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

701 E Loop 281
Longview, TX 75605
Phone (430) 240-4600

705 E Marshall Ave
Ste 1004
Longview, TX 75601
Phone (903) 315-3880

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: tnguyen239278@christushealth.direct-ci.net

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1932307766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756064207",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S WASHINGTON AVE",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705336",
            "telephone_number": "903-315-1488",
            "fax_number": "903-315-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUNG",
        "middle_name": "HIEU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9406784",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.