Active NPI
Andrea Nguyen, M.D.
- Pediatrics Physician
- Sugar Land, TX
National Provider Identifier
1942614128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R4112
- Practice address
- 17520 W Grand Pkwy S Ste 430
Sugar Land, TX 77479-3170 - Phone
- (281) 305-5970
- Fax
- (281) 305-5971
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R4112 | TX | Primary |
Addresses
Primary practice location
17520 W Grand Pkwy S Ste 430
Sugar Land, TX 77479-3170
Mailing address
3637 Bellefontaine St
Houston, TX 77025-1316
Other practice location 1
2516 Stockton Blvd
Sacramento, CA 95817-2208
Phone (916) 734-2428
Other practice location 2
17510 W Grand Pkwy S Ste 580
Sugar Land, TX 77479
Phone (281) 341-9600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4112 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Fish Pediatrics, L.L.P. | Pediatrics | Past | Accepting new patients |
| Tykes to Teens Pediatrics, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Houston, TX
- NPI 1891884508
-
dba Hanh Nguyen, MD
- Primary Care Clinic/Center
- Sugar Land, TX
- NPI 1487162715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1942614128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 BELLEFONTAINE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17520 W GRAND PKWY S STE 430",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774793170",
"telephone_number": "281-305-5970",
"fax_number": "281-305-5971"
}
],
"practiceLocations": [
{
"address_1": "2516 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172208",
"country_code": "US",
"telephone_number": "916-734-2428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17510 W Grand Pkwy S Ste 580",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "77479",
"country_code": "US",
"telephone_number": "281-341-9600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANDREA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R4112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.