Quoc-Bao Duy Nguyen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R9527 Issued in TX

Practice address

2700 W Anderson LN Ste 403
Austin, TX 78757-1153

Phone

(512) 786-3498

Fax

(512) 243-7236

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Dermatology

Education

Texas a & M University System, HSC, College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear Creek DermatologyGroup PAC ID 8325435977, 5 clinicians

Dermatology Specialists of San Antonio, PLLCGroup PAC ID 5193043149, 10 clinicians

Longhorn Dermatology, PLLCGroup PAC ID 8729490305, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: qnguyen@dmp.emadirect.md

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.

• Dermatology Specialists of San Antonio, PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1275925869
  Medicare reassignment Care Compare group NPD
• Clear Creek Dermatology

  • Dermatology Physician
  • Llano, TX
  • NPI 1013667161
  Medicare reassignment Care Compare group
• Longhorn Dermatology, PLLC

  • MOHS-Micrographic Surgery Physician
  • Spicewood, TX
  • NPI 1831792449
  Medicare reassignment Care Compare group
• Katherine Farady M.D. P.a.

  • Dermatology Physician
  • Austin, TX
  • NPI 1629354956
  NPD (past)

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962931766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853493",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W ANDERSON LN STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571153",
            "telephone_number": "512-786-3498",
            "fax_number": "512-243-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUOC-BAO",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R9527",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "R9527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qnguyen@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 W Anderson Ln Ste 403",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787571153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nhung Nguyen, RPH
• Phommalone Mone Nguyen, FNP
• Phuong N Nguyen, D.D.S.
• Phuonglan Tran Nguyen, RPH
• Quang Nhat Nguyen, PHARMACIST INTERN
• Quyen Le Nguyen, D.D.S
• Quynh Ngoc Phuong Nguyen, NURSE PRACTITIONER
• Quynh P Nguyen
• Randy Duong Nguyen
• Rochelle Erika Nguyen, MSN, FNP-C

• Dermatology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.