KENNETH XUAN NGUYEN (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1306047345
Physical Medicine & Rehabilitation Physician
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NPPES metrics only — not quality of care.
863 PHYSICAL MEDICINE AND REHABILITATION in TX
Provider Addresses for KENNETH XUAN NGUYEN (D.O.)
106 Vision Park Blvd
Shenandoah, TX 773843000
Phone: (713) 442-1800
Type: Location
543, Taylor Avenue, Near East Side, Columbus, Franklin, Ohio, 43203, United States
1ST FLOOR
COLUMBUS, OH 432031278
Phone: (614) 293-2225
Fax: (614) 293-0621
Type: Mailing
11511 SHADOW CREEK PKWY
PEARLAND, TX 775847298
Phone: (713) 442-0000
Type: Mailing
5050 NE HOYT ST STE 611
PORTLAND, OR 972132990
Phone: (503) 215-8699
Type: Location
15655 CYPRESS WOOD MEDICAL DR STE 100
HOUSTON, TX 770141487
Phone: (713) 442-1700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160810000664 | I | Physical Medicine And Rehabilitation | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77384)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| Hospitalist, Internal Medicine | TX | |
| N E U R O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Physician Assistant | MA |
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