Active NPI
Cong Thanh Phan, MD
- Retina Specialist (Ophthalmology) Physician
- Monroeville, PA
National Provider Identifier
1104454164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- MD493792
- Practice address
- 300 Oxford Dr Ste 300
Monroeville, PA 15146-2357 - Phone
- (412) 683-5300
- Fax
- (412) 349-8655
- NPI assigned
- Mar 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 36460 | WV | |
| Ophthalmology Physician | 207W00000X | V0115 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | MD493792 | PA | Primary |
Addresses
Primary practice location
300 Oxford Dr Ste 300
Monroeville, PA 15146-2357
Mailing address
300 Oxford Dr Ste 300
Monroeville, PA 15146-2357
Phone (412) 683-5300
Other practice location 1
5303 Harry Hines Blvd
6th Floor
Dallas, TX 75390
Phone (214) 645-2020
Other practice location 2
221 Cabela Dr
Triadelphia, WV 26059-1022
Phone (412) 349-8655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Medical School at Houston, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5303 Harry Hines Blvd
FL 6
Dallas, TX 75390-7208
Phone (214) 645-2020
Hospital & facility affiliations
- JPS Health Network
- Parkland Health & Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD493792 | PA | MD | Retina Specialist (Ophthalmology) Physician |
| 36460 | WV | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Retina Vitreous Consultants Inc. | Ophthalmology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Ophthalmology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients |
Locations
2000 Oxford Dr
Ste 670
Bethel Park, PA 15102
Phone (412) 683-5300
300 Oxford Dr
Ste 300
Monroeville, PA 15146
Phone (412) 683-5300
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
5303 Harry Hines Blvd
Fl 6
Dallas, TX 75390
Phone (214) 645-2225
800 8th Ave
Ste 306
Fort Worth, TX 76104
Phone (817) 336-1300
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
1500 S Main St
Fl 2
Ft Worth, TX 76104
Phone (817) 702-3000
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
221 Cabela Dr
Triadelphia, WV 26059
Phone (412) 349-8655
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Ophthalmology Physician
- Monroeville, PA
- NPI 1063444123
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Ophthalmology Physician
- Dallas, TX
- NPI 1851361471
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 46
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1144397324
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1164042784
Hospital
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1194090001
Hospital
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1235206418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1104454164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 OXFORD DR STE 300",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462357",
"telephone_number": "412-683-5300",
"fax_number": "412-349-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 OXFORD DR STE 300",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462357",
"telephone_number": "412-683-5300",
"fax_number": "412-349-8655"
}
],
"practiceLocations": [
{
"address_1": "5303 Harry Hines Blvd",
"address_2": "6th Floor",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "75390",
"country_code": "US",
"telephone_number": "214-645-2020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 Cabela Dr",
"address_purpose": "LOCATION",
"city": "Triadelphia",
"state": "WV",
"postal_code": "260591022",
"country_code": "US",
"telephone_number": "412-349-8655",
"fax_number": "412-349-8655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAN",
"first_name": "CONG",
"middle_name": "THANH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "WV",
"license": "36460",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "V0115",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "PA",
"license": "MD493792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.