BAO XUAN NGUYEN (D.O.) – Clinical Cardiac Electrophysiology Physician, NPI 1861848061

BAO XUAN NGUYEN (D.O.) is a healthcare provider. based in Longview, Texas. specializing in CARDIAC ELECTROPHYSIOLOGY. They hold the professional credentials D.O.. They hold a License No. 15145 (SD). The NPI Number for BAO XUAN NGUYEN (D.O.) is 1861848061

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
BAO XUAN NGUYEN (D.O.)
NPI
1861848061
Phone
(903) 315-4500
Address
703 E MARSHALL AVE STE 5007
Enumeration Date
6 May 2016
Last Update Date
10 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035952283
Graduation Year
2016 (10 years ago)
PAC ID
2961876594
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20250625001043
Address ID
TX756526070HE105XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

276 CARDIAC ELECTROPHYSIOLOGY in TX

Provider Addresses for BAO XUAN NGUYEN (D.O.)

  • 703 E MARSHALL AVE STE 5007

    LONGVIEW, TX 756015554

    Phone: (903) 315-4500

    Fax: (903) 502-6086

    Type: Mailing

  • 301 UNIVERSITY BLVD

    GALVESTON, TX 775550570

    Phone: (409) 772-2653

    Fax: (409) 772-5462

    Type: Mailing

  • 301 UNIVERSITY BLVD, RT. 0553

    GALVESTON, TX 775550553

    Phone: (409) 772-1533

    Fax: (409) 772-4982

    Type: Location

  • 1301 W 18th St

    Sioux Falls, SD 571050401

    Phone: (605) 312-2200

    Fax: (605) 312-2101

    Type: Location

  • 4860 Y ST STE 200

    SACRAMENTO, CA 958172307

    Phone: (916) 734-3761

    Fax: (916) 734-8394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $46,315.

Total Amount is formed as General ($46,315) + Research ($0) + Ownership ($0) = $46,315.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Abbott Laboratories ($31,500).

Total Amount

$46,315

General + Research + Ownership

Payments

119

Total payment records

General Amount

$46,315

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2025-06-25

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
I20250625001043ICardiac ElectrophysiologyTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75601)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

What is the standard ID for BAO XUAN NGUYEN (D.O.) in the U.S.?
In the U.S., BAO XUAN NGUYEN (D.O.) is identified by NPI 1861848061.
Does the public listing show BAO XUAN NGUYEN (D.O.) as active?
BAO XUAN NGUYEN (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does BAO XUAN NGUYEN (D.O.) provide?
BAO XUAN NGUYEN (D.O.)'s profile centers on Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BAO XUAN NGUYEN (D.O.)?
The directory associates BAO XUAN NGUYEN (D.O.) with Longview, Texas. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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