Individual provider Active NPI

Ashley Charter Pan, M.D.

  • Internal Medicine Physician
  • Cypress, TX
National Provider Identifier
1073802765
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q3937 Issued in TX
Practice address
25282 Northwest Fwy Ste 200
Cypress, TX 77429-1083
Phone
(281) 737-2165
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 Q3937 TX Primary

Addresses

Primary practice location

25282 Northwest Fwy Ste 200
Cypress, TX 77429-1083

Mailing address

25282 Northwest Fwy Ste 200
Cypress, TX 77429-1083
Phone (281) 737-2165

Other names 1

  • Dr. Ashley Elizabeth Charter Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150518000952 TX Practitioner - Internal Medicine 0648590588 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Apr 23, 2015 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Oct 7, 2019 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 7, 2019 Accepting new patients

Locations

25282 Northwest Fwy
Ste 200
Cypress, TX 77429
Phone (281) 737-2165

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1073802765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25282 NORTHWEST FWY STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291083",
            "telephone_number": "281-737-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25282 NORTHWEST FWY STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774291083",
            "telephone_number": "281-737-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "ASHLEY",
        "middle_name": "CHARTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q3937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "CHARTER",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.