PAUL THO NGUYEN MD
NPI 1114195724
Family Medicine in Houston, TX

Active since February 16, 2008PECOS EnrolledAccepts Medicare Assignment
13421 WESTHEIMER RD STE D, HOUSTON, TX 77077(281) 947-5974(281) 947-5977 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Feb 15, 2023 (2 updates tracked since 2023).

About Paul Tho Nguyen Md NPPES

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

PAUL THO NGUYEN MD (NPI 1114195724) is an individual family medicine provider in Houston, Texas, licensed in Texas (P0454) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114195724
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL THO NGUYENCredential: MD
Location Address13421 WESTHEIMER RD STE DHouston, TX 77077-3772
Mailing Address13421 Westheimer Rd Ste DHouston, TX 77077-3772 · (281) 947-5974 · Fax (281) 947-5977
Fax(281) 947-5977
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 16, 2008
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1114195724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · P0454✔ Licensed in LA · 202973
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License P0454 (TX)
13421 WESTHEIMER RD STE D, Houston, TX 77077

Secondary Practice Location 1

Location 14750 Fairmont PkwyPasadena, TX 77504-3330 · Phone (281) 998-0912

Other Identifiers 1

Medicaid1077941LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Tho Nguyen Md 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 ID7719032432
PECOS Enrollment IDI20120914000646
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Paul Nguyen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
13421 WESTHEIMER RD STE D
Houston, TX 77077
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Urgent Care
12345 KATY FWY.
Houston, TX 77079
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: American Current Care PA
  • 237 clinicians in this Medicare group
Urgent Care
22915 MORTON RANCH RD
Katy, TX 77449
  • Reassigned Medicare billing, Texas enrollment
  • 47 clinicians in this Medicare group
Urgent Care
2601 W LAKE HOUSTON PKWY
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

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.
12 services12 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Emergency Medicine (Emergency Medical Services)
13421 WESTHEIMER RD STE D
HOUSTON, TX 77077

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 Paul Nguyen's NPI number?

The NPI number for Paul Nguyen is 1114195724. It was assigned to this individual provider in the NPPES registry on February 16, 2008.

Where is Paul Nguyen located?

Paul Nguyen practices at 13421 Westheimer Rd Ste D, Houston, TX 77077. The listed phone number is (281) 947-5974.

What is Paul Nguyen's specialty?

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

Is Paul Nguyen enrolled in Medicare?

Yes. Paul 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.

Which organizations bill Medicare for Paul Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Nguyen reassigns Medicare benefits to 4 organizations: Insight Urgent Care PLLC (Houston, TX), American Current Care, P.A. (Houston, TX), Medexpress Urgent Care Texas, P.A. (Katy, TX) and Vip Health Services, LLC. (Kingwood, TX). Each 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 Paul Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Nguyen was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.