DR. PHUC NGUYEN MD
NPI 1194925040
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
5656 KELLEY ST, HOUSTON, TX 77026(713) 566-5100 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Phuc Nguyen Md NPPES

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

DR. PHUC NGUYEN MD (NPI 1194925040) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (Q2035) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Texas Medical Branch At Galveston (2007).

NPPES Registry Identity

NPI1194925040
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PHUC NGUYENCredential: MD
Location Address5656 KELLEY STHouston, TX 77026-1967
Mailing Address7502 Capeview XingSpring, TX 77379-1480 · (281) 650-9262
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1194925040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · Q2035
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301090175 (MI)
5656 KELLEY ST, Houston, TX 77026

Accepted 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

Dr. Phuc 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 ID6608056486
PECOS Enrollment IDI20141121000983
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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
87 services76 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
83 services82 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.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST, ROOM IEC 93006
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Physician Assistant
5656 KELLEY ST
HOUSTON, TX 77026
Internal Medicine (Cardiovascular Disease)
5656 KELLEY ST
HOUSTON, TX 77026
Family Medicine
5656 KELLEY ST
HOUSTON, TX 77026

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 Phuc Nguyen's NPI number?

The NPI number for Phuc Nguyen is 1194925040. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Phuc Nguyen located?

Phuc Nguyen practices at 5656 Kelley St, Houston, TX 77026. The listed phone number is (713) 566-5100.

What is Phuc Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Phuc Nguyen enrolled in Medicare?

Yes. Phuc 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 Phuc Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Phuc 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 Phuc Nguyen affiliated with any hospitals?

According to CMS data, Phuc Nguyen is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Phuc Nguyen was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.