NPIMap

Individual provider Active NPI

Hiep C Phan, MD

  • Surgery Physician
  • Lancaster, PA
National Provider Identifier
1386685378
Registry record updated Feb 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD418957 Issued in PA
Practice address
2119 Marietta Ave
Suite 1
Lancaster, PA 17603-2207
Phone
(717) 735-9222
Fax
(717) 735-3755
NPI assigned
Jun 9, 2006
Last updated
Feb 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD418957 PA Primary

Addresses

Primary practice location

2119 Marietta Ave
Suite 1
Lancaster, PA 17603-2207

Mailing address

409 South Second Street
Suite 2F
Harrisburg, PA 17104-1612

Other identifiers 1

IdentifierTypeStateIssuer
100815879MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hphan62204@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040102000289 PA Practitioner - General Surgery 8628977394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2119 Marietta Ave
Suite 1
Lancaster, PA 17603-2207
Phone (717) 735-9222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy62
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Surgery CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Medical Services Surgery Past Accepting new patients
Lancaster Hma Physician Management, LLC Surgery Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2119 Marietta Ave
Ste 1
Lancaster, PA 17603
Phone (717) 200-1122

2170 Noll Dr
Ste 300
Lancaster, PA 17603
Phone (717) 232-4567

233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167

90 Good Dr
Ste 101
Lancaster, PA 17603
Phone (717) 299-3020

1500 Highlands Dr
Lititz, PA 17543
Phone (717) 625-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612569600000",
    "number": "1386685378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH SECOND STREET",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 MARIETTA AVE",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032207",
            "telephone_number": "717-735-9222",
            "fax_number": "717-735-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HIEP",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-02-06",
        "certification_date": "2021-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD418957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100815879",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hphan62204@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2119 Marietta Ave",
            "address_2": "Suite 1",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176032207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.