DR. DOAN KHAC NGUYEN M.D.
NPI 1619945896
Orthopaedic Surgery - Orthopaedic Trauma in Houston, TX

Q: What is Doan Nguyen's NPI number?

The NPI number for Doan Nguyen is 1619945896. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Doan Nguyen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Q: When was this NPI record last updated?

The NPPES record for Doan Nguyen was last updated on August 22, 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

77.62/100

CMS Quality Rating

11301 FALLBROOK DR STE 100, HOUSTON, TX 77065(281) 807-5432(281) 807-5437 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Doan Khac Nguyen M.d. NPPES

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

DR. DOAN KHAC NGUYEN M.D. (NPI 1619945896) is an individual orthopaedic trauma provider in Houston, Texas, licensed in Texas (J8690) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Northwest, and is a graduate of Illinois Medical College (1994).

NPPES Registry Identity

NPI1619945896

Entity TypeIndividualMale

Primary Taxonomy207XX0801X

Provider Legal NameDR. DOAN KHAC NGUYENCredential: M.D.

Location Address11301 FALLBROOK DR STE 100Houston, TX 77065-4269

Mailing Address11301 Fallbrook Dr Ste 100Houston, TX 77065-4269 · (281) 807-5432 · Fax (281) 807-5437

Phone(281) 807-5432

Fax(281) 807-5437

Sole ProprietorYes

Medical School CMSIllinois Medical CollegeGraduated 1994

Enumeration DateMarch 14, 2006

Last NPPES UpdateAugust 22, 2023

NPPES CertifiedAugust 22, 2023

✔ NPI 1619945896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians

Taxonomy Code207XX0801X

License✔ Licensed in TX · J8690

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License J8690 (TX)

11301 FALLBROOK DR STE 100, Houston, TX 77065

Open in Google Maps ↗

Other Identifiers 2

Other0036EPTX · Blue Cross Blue Shield Tx

Medicaid030253101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.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

Dr. Doan Khac Nguyen M.d. 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 ID1254394828

PECOS Enrollment IDI20050831000686

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

Medicare enrollment records show Doan Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Round Table Specialist Group, PLLC

17 mi

Emergency Medicine

8910 HIGHWAY 6 S
Houston, TX 77083

Reassigned Medicare billing, Texas enrollment
43 clinicians in this Medicare group

NPI 1497152268 (832) 429-8027

Baylor College Of Medicine

19 mi

Internal Medicine

6620 MAIN ST
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,296 clinicians in this Medicare group

NPI 1104867175 (713) 798-2500

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 12

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.

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.

216 services128 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

128 services68 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

79 services55 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

72 services70 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

70 services32 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

68 services56 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

62 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

39 services17 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

20 services14 patients

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.

18 services18 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

16 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Houston Healthcare Northwest

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450638

Location710 Cypress Creek ParkwayHouston, TX 77090 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450670

Location605 HolderriethTomball, TX 77375 · Harris County

Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450775

Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County

Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670075

Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County

Emergency services

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.

77.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

18.28

Reported Quality Measures

Advance Care Plan

100%945 patients5/55-star benchmark: 100%

Falls: Plan of Care

100%266 patients

Falls: Screening for Future Fall Risk

100%759 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%1,715 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,093 patients

Patients screened: 100% · 1,093 patients

100%95 patients5/55-star benchmark: 100%

Tobacco Use and Help with Quitting Among Adolescents

100%89 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CYPRESS SPINE CENTER INC.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

11301 FALLBROOK DR STE 100
HOUSTON, TX 77065

Harris County (713) 840-0401

DR. SUSAN TJENG MD

Pediatrics

11301 FALLBROOK DR STE 100
HOUSTON, TX 77065

Harris County (281) 807-5432

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 Doan Nguyen's NPI number?

The NPI number for Doan Nguyen is 1619945896. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Doan Nguyen located?

Doan Nguyen practices at 11301 Fallbrook Dr Ste 100, Houston, TX 77065. The listed phone number is (281) 807-5432.

What is Doan Nguyen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Doan Nguyen enrolled in Medicare?

Yes. Doan 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 Doan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doan Nguyen reassigns Medicare benefits to 2 organizations: Round Table Specialist Group, PLLC (Houston, TX) and Baylor College Of Medicine (Houston, 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 Doan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Doan Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Doan 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 Doan Nguyen affiliated with any hospitals?

According to CMS data, Doan Nguyen is affiliated with Hca Houston Healthcare Northwest, Hca Houston Healthcare Tomball, Hca Houston Healthcare Kingwood, Houston Methodist Willowbrook Hospital and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for Doan Nguyen was last updated on August 22, 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.