Individual provider Active NPI

Kevin Khoa Nguyen, D.O.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1932588035
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R1600 Issued in TX
Practice address
5258 Medical Drive
Primary Care, Suite 250
San Antonio, TX 78229
Phone
(210) 644-2100
NPI assigned
May 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10054375 TX
Family Medicine Physician 207Q00000X R1600 TX Primary

Addresses

Primary practice location

5258 Medical Drive
Primary Care, Suite 250
San Antonio, TX 78229

Mailing address

PO Box 734812
Dallas, TX 75373-4812
Phone (210) 358-9500

Other practice location 1

21727 Ih 10 W Ste 103
San Antonio, TX 78257-2108
Phone (210) 644-1200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address knguyen158603@uhssa.direct-ci.com Direct
Direct Messaging Address knguyen158603@uhssa.direct-ci.com Direct

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
I20180810001353 TX Practitioner - Family Practice 0749538536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

1055 Ada St
San Antonio, TX 78223-1703
Phone (210) 358-5515

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10054375TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates Family Medicine CurrentSince Feb 15, 2020 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Nov 8, 2018 Accepting new patients
Scott & White Clinic Family Medicine CurrentSince Nov 8, 2018 Accepting new patients
Pain Management Specialists CurrentSince Feb 7, 2021 Accepting new patients
Bexar County Hospital District Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

1507 Rivery Blvd
Georgetown, TX 78628
Phone (512) 509-9550

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

21727 Ih 10 W
Ste 103
San Antonio, TX 78257
Phone (210) 644-1200

5282 Medical Dr
Ste 250
San Antonio, TX 78229
Phone (210) 358-8820

1055 Ada St
San Antonio, TX 78223
Phone (210) 358-5515

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: knguyen158603@uhssa.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1932588035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734812",
            "telephone_number": "210-358-9500",
            "fax_number": "210-358-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 MEDICAL DRIVE",
            "address_2": "PRIMARY CARE, SUITE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-644-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21727 Ih 10 W Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782572108",
            "country_code": "US",
            "telephone_number": "210-644-1200",
            "fax_number": "210-702-4249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEVIN",
        "middle_name": "KHOA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10054375",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R1600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knguyen158603@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "903 W Martin St",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782070903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knguyen158603@uhssa.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21727 Ih 10 W Ste 103",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782572108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.