NPIMap

Individual provider Active NPI

Duc Hong Phan, M.D

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1083946693
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P2340 Issued in TX
Practice address
10603 Bellaire Blvd
B116
Houston, TX 77072-5222
Phone
(832) 328-1437
Fax
(832) 328-1443
NPI assigned
Feb 6, 2010
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A111050 CA
Internal Medicine Physician 207R00000X P2340 TX Primary

Addresses

Primary practice location

10603 Bellaire Blvd
B116
Houston, TX 77072-5222

Mailing address

15000 W Airport Blvd
124
Sugar Land, TX 77498-7238
Phone (281) 201-2347

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
I20120424000506 TX Practitioner - Internal Medicine 6507027356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10603 Bellaire Blvd
Suite B116
Houston, TX 77072-5229
Phone (832) 328-1437

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111050CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ally Healthcare Advocates, LLC Internal Medicine CurrentSince Sep 4, 2012 Accepting new patients
West Coast Hospitalists PC Internal Medicine Past Accepting new patients

Locations

10603 Bellaire Blvd
Ste B116
Houston, TX 77072
Phone (832) 328-1437

Organizations & group practices 2

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 11

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": "1265414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1083946693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 W AIRPORT BLVD",
            "address_2": "124",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774987238",
            "telephone_number": "281-201-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 BELLAIRE BLVD",
            "address_2": "B116",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725222",
            "telephone_number": "832-328-1437",
            "fax_number": "832-328-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "DUC",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.