Individual provider Active NPI

Anh Ngoc Ma, FNP

  • Family Nurse Practitioner
  • Tomball, TX
National Provider Identifier
1982116018
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134952 Issued in TX
Practice address
308 Holderrieth Blvd
Tomball, TX 77375-4536
Phone
(281) 351-4911
Fax
(281) 351-4915
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134952 TX Primary

Addresses

Primary practice location

308 Holderrieth Blvd
Tomball, TX 77375-4536

Mailing address

308 Holderrieth Blvd
Tomball, TX 77375-4536
Phone (281) 351-4911

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171213001304 TX Practitioner - Nurse Practitioner 9931467388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Houston Heart Center, P.a.Group PAC ID 4082633037, 7 clinicians

Practice addresses (Care Compare)

308 Holderrieth Blvd
Tomball, TX 77375-4536
Phone (281) 351-4911

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
88.56
Improvement activities
40
Cost
69.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134952TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Houston Heart Center P.a. CurrentSince Nov 1, 2017 Accepting new patients
Northwest Houston Heart Center, P.a. Past Accepting new patients

Locations

21216 Northwest Fwy
Ste 640
Cypress, TX 77429
Phone (281) 351-4911

425 Holderrieth Blvd
Ste 208
Tomball, TX 77375
Phone (281) 357-5515

308 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 351-4911

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHBEAA

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1982116018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754536",
            "telephone_number": "281-351-4911",
            "fax_number": "281-351-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HOLDERRIETH BLVD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754536",
            "telephone_number": "281-351-4911",
            "fax_number": "281-351-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "ANH",
        "middle_name": "NGOC",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.