Paul Tho Nguyen, MD - Medicare Family Practice in Houston, TX

Paul Tho Nguyen, MD is a medicare enrolled "Family Medicine" physician in Houston, Texas. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Insight Urgent Care Pllc and his current practice location is 13421 Westheimer Rd Ste D, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (281) 947-5974.

Paul Tho Nguyen is licensed to practice in Texas (license number P0454) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114195724.

Contact Information

Paul Tho Nguyen, MD
13421 Westheimer Rd Ste D,
Houston, TX 77077-3772
(281) 947-5974
(281) 947-5977

Map and Direction




Physician's Profile

Full NamePaul Tho Nguyen
GenderMale
SpecialityFamily Practice
Experience21 Years
Location13421 Westheimer Rd Ste D, Houston, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Paul Tho Nguyen graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1114195724
  • Provider Enumeration Date: 02/16/2008
  • Last Update Date: 06/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719032432
  • Enrollment ID: I20120914000646

Medical Identifiers

Medical identifiers for Paul Tho Nguyen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114195724NPI-NPPES
1077941MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine P0454 (Texas)Secondary
207Q00000XFamily Medicine 202973 (Louisiana)Secondary
207Q00000XFamily Medicine P0454 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Insight Urgent Care Pllc71133010522

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Tho Nguyen allows following entities to bill medicare on his behalf.
Entity NameMedexpress Urgent Care Texas, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194246884
PECOS PAC ID: 2961778790
Enrollment ID: O20171024000705
Entity NameInsight Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902550676
PECOS PAC ID: 7113301052
Enrollment ID: O20221115001491

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Tho Nguyen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Tho Nguyen, MD
13421 Westheimer Rd Ste D,
Houston, TX 77077-3772

Ph: (281) 947-5974
Paul Tho Nguyen, MD
13421 Westheimer Rd Ste D,
Houston, TX 77077-3772

Ph: (281) 947-5974

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.