Active NPI
Liem Thanh Nguyen, M.D.
- Internal Medicine Physician
- San Angelo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P0453
- Practice address
- 3501 Knickerbocker Rd
San Angelo, TX 76904-7610 - Phone
- (325) 245-4000
- NPI assigned
- Jun 22, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P0453 | TX | Primary |
Addresses
Primary practice location
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Mailing address
3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone (325) 245-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284190001 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110927000070 | TX | Practitioner - Internal Medicine | 8224209135 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quantum Emergency Physicians PA
Practice addresses (Care Compare)
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
Hospital & facility affiliations
- Hendrick Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 60.23 of 100
- Quality
- 28.33
- Improvement activities
- 40
- Cost
- 69.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Hospital Medicine Services of Texas PA | Internal Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Internal Medicine | Current | Accepting new patients |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Hendrick Medical Center | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Hendrick Medical Center | Internal Medicine | Current | Accepting new patients |
| Quantum Emergency Physicians PA | Internal Medicine | Current | Accepting new patients |
Locations
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
1900 Pine St
Fl 7
Abilene, TX 79601
Phone (325) 670-6251
2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422
3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Abilene, TX
- NPI 1215010079
Internal Medicine, TX
-
- Hospitalist Physician
- Port Arthur, TX
- NPI 1568613024
Internal Medicine, TX
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Internal Medicine, TX
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Family Medicine Physician
- Big Spring, TX
- NPI 1669801585
Hospital & facility affiliations 1
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": "1214092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1982865952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 KNICKERBOCKER RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-245-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 KNICKERBOCKER RD",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769047610",
"telephone_number": "325-245-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LIEM",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-22",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P0453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284190001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.