NPIMap

Individual provider Active NPI

Khuong Dinh Phan, D.O.

  • Internal Medicine Physician
  • Arlington, TX
National Provider Identifier
1033119540
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7520 Issued in TX
Practice address
8200 Matlock Rd Ste 100
Arlington, TX 76002-4805
Phone
(817) 473-7197
Fax
(817) 473-7198
NPI assigned
Jul 26, 2005
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7520 TX Primary

Addresses

Primary practice location

8200 Matlock Rd Ste 100
Arlington, TX 76002-4805

Mailing address

8200 Matlock Rd Ste 100
Arlington, TX 76002-4805
Phone (817) 473-7197

Other practice location 1

800 Highlander Ave Ste 200
Midlothian, TX 76065-3515
Phone (817) 473-7200

Other identifiers 4

IdentifierTypeStateIssuer
180563202MedicaidTX
8X9320OtherBCBS PIN
P00434893OtherMEDICARE RAILROAD PTAN
DG4235OtherMEDICARE RAILROAD GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050908000429 TX Practitioner - Internal Medicine 8224060462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians
Khuong Phan, D.O., P.a.Group PAC ID 9234223579, 7 clinicians

Practice addresses (Care Compare)

8200 Matlock Rd
Suite 100
Arlington, TX 76002-4805
Phone (817) 473-7197

920 US Hwy 287 N
Mansfield Medical Associates
Mansfield, TX 76063-2627
Phone (817) 473-7197

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.37 of 100Reported as group
Quality
99.96
Improvement activities
40
Cost
61.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L7520TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Sep 22, 2025 Accepting new patients
Khuong Phan, D.O., P.a. Internal Medicine CurrentSince Feb 28, 2007 Accepting new patients
Medhealth Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients
West LPN Inc Internal Medicine Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients
Summit Healthcare PLLC PastSince Nov 24, 2024 Accepting new patients

Locations

8200 Matlock Rd
Ste 100
Arlington, TX 76002
Phone (817) 473-7197

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

8553 N Beach St
Fort Worth, TX 76244
Phone (682) 215-4657

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

920 Highway 287 N
Mansfield, TX 76063
Phone (817) 473-7197

920 Highway 287 N
Ste 300
Mansfield, TX 76063
Phone (817) 472-4790

920 Highway 287 N
Ste 308
Mansfield, TX 76063
Phone (817) 473-7197

800 Highlander Ave
Ste 200
Midlothian, TX 76065
Phone (817) 473-7200

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ac2ef729-5b74-4f97-be5e-101a996a9360/
  • Direct secure messaging: kphan13525@dm.mhd.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1033119540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024805",
            "telephone_number": "817-473-7197",
            "fax_number": "817-473-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MATLOCK RD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024805",
            "telephone_number": "817-473-7197",
            "fax_number": "817-473-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Highlander Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760653515",
            "country_code": "US",
            "telephone_number": "817-473-7200",
            "fax_number": "817-473-7198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "KHUONG",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180563202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8X9320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P00434893",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "DG4235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.