Active NPI
Victor Van Phan, DO
- Orthopaedic Surgery Physician
- Houston, TX
National Provider Identifier
1174500979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- L3782
- Practice address
- 11920 Astoria Blvd
Suite 390
Houston, TX 77089-6134 - Phone
- (281) 922-1800
- Fax
- (281) 922-4050
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | L3782 | TX | Primary |
Addresses
Primary practice location
11920 Astoria Blvd
Suite 390
Houston, TX 77089-6134
Mailing address
11920 Astoria Blvd
Suite 390
Houston, TX 77089-6097
Phone (281) 922-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F1153 | Other | TX | MEDICARE GROUP PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11920 Astoria Blvd
Houston, TX 77089-6097
Phone (281) 922-1800
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Houston Methodist Clear Lake Hospital
- St Luke'S Patients Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3782 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Van Phan DO PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
10930 Resource Pkwy
Ste A
Houston, TX 77089
Phone (281) 661-5767
11920 Astoria Blvd
Ste 390
Houston, TX 77089
Phone (281) 484-6132
Interoperability endpoints
- vphan53581@memorialhermann.direct-ci.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1336321231
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1952723967
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1407990088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1174500979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11920 ASTORIA BLVD",
"address_2": "SUITE 390",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896097",
"telephone_number": "281-922-1800",
"fax_number": "281-922-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11920 ASTORIA BLVD",
"address_2": "SUITE 390",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896134",
"telephone_number": "281-922-1800",
"fax_number": "281-922-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "VICTOR",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "L3782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "8F1153",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.