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

Q: 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.

Q: What is Paul Nguyen's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

Phone(281) 947-5974

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

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Secondary Practice Location 1

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

Other Identifiers 1

Medicaid1077941LA

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

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.

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.

INSIGHT URGENT CARE PLLC

Emergency Medicine (Emergency Medical Services)

13421 WESTHEIMER RD STE D
HOUSTON, TX 77077

Harris County (281) 947-5974

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.

What insurance does Paul Nguyen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 other insurers 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.