Individual provider Active NPI

Andrea Nguyen, M.D.

  • Pediatrics Physician
  • Sugar Land, TX
National Provider Identifier
1942614128
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4112 Issued in TX
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

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R4112TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Fish Pediatrics, L.L.P. Pediatrics PastSince May 25, 2025 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.

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.

Verify at the official NPI Registry.