Nghia T. Phan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD021857-E Issued in PA

Practice address

6800 Market St
Suite # 2H
Upper Darby, PA 19082-2412

Phone

(215) 468-5198

Fax

(610) 734-7511

NPI assigned

Apr 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215994835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 S 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191476538",
            "telephone_number": "215-468-5198",
            "fax_number": "215-468-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 MARKET ST",
            "address_2": "SUITE # 2H",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822412",
            "telephone_number": "215-468-5198",
            "fax_number": "610-734-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1534 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191476538",
            "country_code": "US",
            "telephone_number": "215-468-5198",
            "fax_number": "215-468-0612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "NGHIA",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD021857-E",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021857-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00798990",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perfect Choice Home Care LLC
• Pettaway Pursuit Foundation (PPF)
• PG Home Care Inc
• Kim D Pham, R.PH.
• Steven Pham, PHARMD
• Philadelphia Vision Center
• Pillar of Hope Family Home Care Services Corporation
• Planned Parenthood Southeastern PA
• Pleasing,Comfort Home Aging Care
• Rochelle Polao, LCSW

• Internal Medicine Physician in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.