Individual provider Active NPI

Thanh An Nguyen, D.P.M.

  • Podiatrist
  • San Antonio, TX
National Provider Identifier
1992362578
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3182 Issued in TX
Practice address
102 Palo Alto Rd Ste 133
San Antonio, TX 78211-3792
Phone
(210) 923-9200
Fax
(210) 923-9202
NPI assigned
May 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 3182 TX Primary

Addresses

Primary practice location

102 Palo Alto Rd Ste 133
San Antonio, TX 78211-3792

Mailing address

PO Box 23714
Belfast, ME 04915-4488
Phone (210) 923-9200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002238 TX Practitioner - Podiatry 0042664575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Podiatry PAGroup PAC ID 8527245208, 4 clinicians

Practice addresses (Care Compare)

1221 W Ben White Blvd
Suite 212B
Austin, TX 78704-7002
Phone (512) 441-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3182TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Alamo Foot & Ankle PLLC CurrentSince Aug 1, 2023 Accepting new patients
Austin Podiatry, PA Podiatrist CurrentSince Jan 6, 2025 Accepting new patients

Locations

1221 W Ben White Blvd
Ste 212B
Austin, TX 78704
Phone (512) 441-3668

102 Palo Alto Rd
Ste 133
San Antonio, TX 78211
Phone (210) 921-2011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18189/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1992362578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23714",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154488",
            "telephone_number": "210-923-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 133",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113792",
            "telephone_number": "210-923-9200",
            "fax_number": "210-923-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH",
        "middle_name": "AN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.