Thanh Minh Phan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

342740 Issued in LA

Practice address

5131 Odonovan Dr Ste 300
Baton Rouge, LA 70808-4792

Phone

(225) 374-0400

NPI assigned

Mar 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, NY2 enrollments

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 2

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Medicare reassignment Care Compare group NPD
• Womans Physician Group

  • Specialist
  • Gonzales, LA
  • NPI 1730512906
  Medicare reassignment NPD
• Glens Falls Hospital

  • Psychiatric Hospital Unit
  • Glens Falls, NY
  • NPI 1407969397
  NPD (past)
• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  NPD (past)
• Oswego Hospital

  • Institutional Pharmacy
  • Oswego, NY
  • NPI 1780629907
  NPD (past)

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

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation
• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1124656004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-374-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR STE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084792",
            "telephone_number": "225-374-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Bluebonnet Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102808",
            "country_code": "US",
            "telephone_number": "225-215-7498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 S 4th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692941",
            "country_code": "US",
            "telephone_number": "315-598-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THANH",
        "middle_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "333429",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "342740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING LICENSE NUMBER",
            "identifier": "322686",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE MEDICAL LICENSE",
            "identifier": "342740",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Bui Pham
• Vivianne Pham
• Brian Le Phan
• Ky Viet Phan, PTA
• Nghi Phan
• Tole T Phan, OT
• Tram Phan
• Pharmaceutical Specialties, LLC
• Pharmacy4Humanity
• Kaitlin Brianna Pharr

• Psychiatry Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.