DR. JIMMY TRI NGUYEN (D.O.) – Family Medicine Physician, NPI 1568827798

DR. JIMMY TRI NGUYEN (D.O.) is a healthcare provider. based in Katy, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OT016853 (PA). The NPI Number for DR. JIMMY TRI NGUYEN (D.O.) is 1568827798

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIMMY TRI NGUYEN (D.O.)
NPI
1568827798
Phone
(346) 387-7001
Address
21800 KATY FWY STE 240
Enumeration Date
14 December 2015
Last Update Date
3 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3463877001
Graduation Year
2015 (11 years ago)
PAC ID
9133464217
Group Practice PAC ID
1557625662
Professional Enrollment ID
I20181218001320
Address ID
TX774497792KA21800FWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. JIMMY TRI NGUYEN (D.O.)

  • 21800 KATY FWY STE 240

    KATY, TX 774497781

    Phone: (346) 387-7001

    Fax: (346) 387-7002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Novo Nordisk Inc ($66).

Total Amount

$239

General + Research + Ownership

Payments

13

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-12-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181218001320IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11347$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
83036Hemoglobin a1c level2013$0
99213Established patient office or other outpatient visit, 20-29 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 77449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557625662View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

Where can patients find DR. JIMMY TRI NGUYEN (D.O.)'s NPI?
You can confirm DR. JIMMY TRI NGUYEN (D.O.) with NPI 1568827798; it appears in the national provider directory.
Is DR. JIMMY TRI NGUYEN (D.O.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JIMMY TRI NGUYEN (D.O.)?
The page reflects Family Medicine Physician for DR. JIMMY TRI NGUYEN (D.O.). Clinical services aligned with this taxonomy classification.
Where is DR. JIMMY TRI NGUYEN (D.O.)'s primary listing?
We display Katy, Texas because that is what the record indicates for DR. JIMMY TRI NGUYEN (D.O.).
Is DR. JIMMY TRI NGUYEN (D.O.) a real provider?
This page reflects official NPPES data for NPI 1568827798. Always confirm identity and privileges with the practice and licensing boards.

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