Individual provider Active NPI

Thai Duc Nguyen, MD

  • Neurology Physician
  • Humble, TX
National Provider Identifier
1982677381
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
H1165 Issued in TX
Practice address
18648 McKay Dr
Ste 200
Humble, TX 77338-5724
Phone
(281) 446-7316
Fax
(281) 446-0551
NPI assigned
Feb 8, 2006
Last updated
Nov 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X H1165 TX Primary

Addresses

Primary practice location

18648 McKay Dr
Ste 200
Humble, TX 77338-5724

Mailing address

18648 McKay Dr
Ste 200
Humble, TX 77338-5724
Phone (281) 446-7316

Other identifiers 1

IdentifierTypeStateIssuer
P000QV251MedicaidTX

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
I20060508000575 TX Practitioner - Neurology 2163433939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thai D Nguyen MD PAGroup PAC ID 4981615754, 2 clinicians

Practice addresses (Care Compare)

18648 McKay Dr
Suite 200
Humble, TX 77338-5724
Phone (281) 446-7316

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thai D Nguyen, MD, PA CurrentSince Jun 1, 2006 Accepting new patients
Ava K Washko DPM PLLC PastSince Nov 23, 2015 Accepting new patients

Locations

18648 McKay Dr
Ste 200
Humble, TX 77338
Phone (281) 446-7316

9816 Memorial Blvd
Ste 202
Humble, TX 77338
Phone (281) 446-7316

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1982677381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR",
            "address_2": "STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724",
            "telephone_number": "281-446-7316",
            "fax_number": "281-446-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18648 MCKAY DR",
            "address_2": "STE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385724",
            "telephone_number": "281-446-7316",
            "fax_number": "281-446-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI",
        "middle_name": "DUC",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "H1165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P000QV251",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.