NPIMap

Individual provider Active NPI

Mimi Phan, M.D.

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1093035610
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P7537 Issued in TX
Practice address
13219 Dotson Rd Ste 210
Houston, TX 77070-4308
Phone
(281) 955-0338
Fax
(281) 469-0741
NPI assigned
Jun 4, 2010
Last updated
Jun 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 BP10038072 TX
Pulmonary Disease Physician 207RP1001X P7537 TX Primary

Addresses

Primary practice location

13219 Dotson Rd Ste 210
Houston, TX 77070-4308

Mailing address

13219 Dotson Rd Ste 210
Houston, TX 77070-4308
Phone (281) 955-0338

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
I20160609002400 TX Practitioner - Pulmonary Disease 4486944055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Tulane University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Pulmonary and Sleep Associates PLLCGroup PAC ID 1658512595, 10 clinicians

Practice addresses (Care Compare)

10726 Huffmeister Rd
Suite 200
Houston, TX 77065-3182
Phone (281) 955-0338

13219 Dotson Rd
Suite 210
Houston, TX 77070-4308
Phone (281) 955-0338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10038072TXMDInternal Medicine Physician
P7537TXMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Pulmonary and Sleep Associates, PLLC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

235 W Palm St
Ste 107
Bellville, TX 77418
Phone (281) 955-9158

10726 Huffmeister Rd
Ste 200
Houston, TX 77065

11307 FM 1960 Rd W
Ste 100
Houston, TX 77065
Phone (832) 237-0222

13219 Dotson Rd
Ste 210
Houston, TX 77070
Phone (281) 957-4848

Interoperability endpoints

  • Direct secure messaging: mphan96993@directhoustonmethodist.org

Organizations & group practices 1

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1093035610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13219 DOTSON RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704308",
            "telephone_number": "281-955-0338",
            "fax_number": "281-469-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13219 DOTSON RD STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704308",
            "telephone_number": "281-955-0338",
            "fax_number": "281-469-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MIMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10038072",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P7537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.