Individual provider Active NPI

Tai Nhan Nguyen

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1982659629
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J8695 Issued in TX
Practice address
11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043
Phone
(281) 481-8878
Fax
(281) 481-9020
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J8695 TX Primary

Addresses

Primary practice location

11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043

Mailing address

11920 Astoria Blvd
Suite 300
Houston, TX 77089-6043
Phone (281) 481-8878

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
I20100907000429 TX Practitioner - Internal Medicine 4082738570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Medical Clinic LLPGroup PAC ID 1850387796, 4 clinicians

Practice addresses (Care Compare)

11920 Astoria Blvd
Houston, TX 77089-6097
Phone (281) 481-8878

Hospital & facility affiliations

  • Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J8695TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Medical Clinic, LLP Internal Medicine CurrentSince Mar 19, 1996 Accepting new patients

Locations

11920 Astoria Blvd
Ste 300
Houston, TX 77089
Phone (281) 481-1197

11914 Astoria Blvd
Ste 180
Houston, TX 77089
Phone (281) 481-8878

Organizations & group practices 1

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 10

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1982659629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896043",
            "telephone_number": "281-481-8878",
            "fax_number": "281-481-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 ASTORIA BLVD",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896043",
            "telephone_number": "281-481-8878",
            "fax_number": "281-481-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAI",
        "middle_name": "NHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J8695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.