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CASEY NGUYEN MD PA
NPI 1104863109
Family Medicine in Irving, TX

Active since May 31, 2006CLIA 45D1050052 · Waiver
1420 N MACARTHUR BLVD, IRVING, TX 75061(214) 596-9229(214) 596-9231 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Casey Nguyen Md Pa NPPES

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

CASEY NGUYEN MD PA (NPI 1104863109) is a healthcare organization registered as a family medicine in Irving, Texas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Casey Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1104863109
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCASEY NGUYEN MD PA
Location Address1420 N MACARTHUR BLVDIrving, TX 75061-4409
Mailing Address1420 N Macarthur BlvdIrving, TX 75061-4409 · (214) 596-9229 · Fax (214) 596-9231
Phone(214) 596-9229
Fax(214) 596-9231
Organization SubpartNo
Authorized OfficialCasey NguyenOwner · (214) 596-9229
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104863109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L7825
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1420 N MACARTHUR BLVD, Irving, TX 75061
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Nguyen Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Casey Nguyen MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Casey Nguyen, M.D.
Family Practice
NPI 1700832524
1420 N MACARTHUR BLVD
Irving, TX 75061
(214) 596-9229
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1050052

Casey Nguyen Md,pa · Irving, TX
Active · expires Jan 23, 2028
CLIA Number45D1050052
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorCasey Nguyen
Laboratory Phone(214) 596-9229
Laboratory LocationCasey Nguyen Md,pa1420 North Macarthur, Irving, TX 75061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Casey Nguyen MD PA's NPI number?

The NPI number for Casey Nguyen MD PA is 1104863109. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Casey Nguyen MD PA located?

Casey Nguyen MD PA is located at 1420 N Macarthur Blvd, Irving, TX 75061. The listed phone number is (214) 596-9229.

What is Casey Nguyen MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Casey Nguyen MD PA enrolled in Medicare?

Yes. Casey Nguyen MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Casey Nguyen MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Casey Nguyen MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Casey Nguyen MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1050052) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Casey Nguyen MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.