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NINH HAM NGUYEN D.O.
NPI 1003027038
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Houston, TX

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
11302 FALLBROOK DR, STE 206, HOUSTON, TX 77065(832) 604-3636(281) 469-8932 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ninh Ham Nguyen D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINH HAM NGUYEN D.O. (NPI 1003027038) is an individual otolaryngology/facial plastic surgery provider in Houston, Texas, licensed in Texas (N8230) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Kingwood, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2003).

NPPES Registry Identity

NPI1003027038
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameNINH HAM NGUYENCredential: D.O.
Location Address11302 FALLBROOK DR, STE 206Houston, TX 77065-4235
Mailing Address11302 Fallbrook Dr, Ste 206Houston, TX 77065-4235 · (832) 604-3636 · Fax (281) 469-8932
Phone(832) 604-3636
Fax(281) 469-8932
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2003
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 27, 2022
✔ NPI 1003027038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Licenses✔ Licensed in TX · N8230✔ Licensed in MI · 5101015613
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

11302 FALLBROOK DR, Houston, TX 77065
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ninh Ham Nguyen D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103004866
PECOS Enrollment IDI20110628000410
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services74 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
76 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services57 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
34 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$1.55 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers29 claims29 services$22.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES TANG M.D.
Plastic Surgery
11302 FALLBROOK DR, SUITE 304
HOUSTON, TX 77065
Harris County (281) 955-0115
BIMAL TALATI, MD PA
Internal Medicine
11302 FALLBROOK DR, #205
HOUSTON, TX 77065
Harris County (281) 640-8352
STEPHANIE D. SMITH-SHAM, M.D., PLLC
Specialist
11302 FALLBROOK DR, #302
HOUSTON, TX 77065
Harris County (281) 955-8780
MRS. ALICIA MCCAIN FNP
Nurse Practitioner (Family)
11302 FALLBROOK DR, SUITE 101
HOUSTON, TX 77065
Harris County (281) 955-8780
DR. ERIC BLACHER M.D.
Urology
11302 FALLBROOK DR, SUITE 107
HOUSTON, TX 77065
Harris County (281) 890-3900
DR. ELIZABETH C PODOBA MD
Specialist
11302 FALLBROOK DR, SUITE 101
HOUSTON, TX 77065
Harris County (281) 894-2900
DR. MARGUERITE COLLETTE OGDEN AU.D., CCC-A
Audiologist
11302 FALLBROOK DR, STE. 206
HOUSTON, TX 77065
Harris County (832) 604-3636
GREATER DALLAS HEALTHCARE ENTERPRISES
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11302 FALLBROOK DR, STE. 201
HOUSTON, TX 77065
Harris County (281) 809-7811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ninh Nguyen's NPI number?

The NPI number for Ninh Nguyen is 1003027038. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Ninh Nguyen located?

Ninh Nguyen practices at 11302 Fallbrook Dr Ste 206, Houston, TX 77065. The listed phone number is (832) 604-3636.

What is Ninh Nguyen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Ninh Nguyen enrolled in Medicare?

Yes. Ninh Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ninh Nguyen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Ninh Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ninh Nguyen affiliated with any hospitals?

According to CMS data, Ninh Nguyen is affiliated with Hca Houston Healthcare Kingwood.

When was this NPI record last updated?

The NPPES record for Ninh Nguyen was last updated on January 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.