DR. NAM HOANG NGUYEN MD
NPI 1619437605
Physical Medicine & Rehabilitation in Austin, TX

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1400 NORTH ST # I-35, AUSTIN, TX 78756(512) 324-8235 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2023, Jul 8, 2020, Jun 9, 2019 (3 updates tracked since 2019).

About Dr. Nam Hoang Nguyen Md NPPES

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

DR. NAM HOANG NGUYEN MD (NPI 1619437605) is an individual physical medicine & rehabilitation provider in Austin, Texas, licensed in Texas (U4883) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Round Rock Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2019).

NPPES Registry Identity

NPI1619437605
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. NAM HOANG NGUYENCredential: MD
Location Address1400 NORTH ST # I-35Austin, TX 78756-2620
Mailing Address1400 N I-35 Suite 2.230Austin, TX 78701
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1619437605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · U4883
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.074558 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10070647 (TX)
1400 NORTH ST # I-35, Austin, TX 78756

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. Nam Hoang 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 ID8426386392
PECOS Enrollment IDI20230727000202
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
471 services249 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services142 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Emergency Medicine
1400 NORTH ST # I-35, SUITE C2.230
AUSTIN, TX 78756
Emergency Medicine
1400 NORTH ST # I-35, C2.230
AUSTIN, TX 78756
Emergency Medicine
1400 NORTH ST # I-35, C3.314
AUSTIN, TX 78756
Nurse Practitioner (Adult Health)
1400 NORTH ST # I-35, SUITE 310
AUSTIN, TX 78756
Emergency Medicine
1400 NORTH ST # I-35, SUITE 2.230
AUSTIN, TX 78756

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 Nam Nguyen's NPI number?

The NPI number for Nam Nguyen is 1619437605. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Nam Nguyen located?

Nam Nguyen practices at 1400 North St # I-35, Austin, TX 78756. The listed phone number is (512) 324-8235.

What is Nam Nguyen's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Nam Nguyen enrolled in Medicare?

Yes. Nam 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 Nam Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit, UnitedHealthcare and WellPoint list Nam 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 Nam Nguyen affiliated with any hospitals?

According to CMS data, Nam Nguyen is affiliated with Round Rock Medical Center and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Nam Nguyen was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.