Calvin Q Pan, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

203898 Issued in NY

Practice address

13221 41St Ave
Flushing, NY 11355-3627

Phone

(718) 888-7728

Fax

(718) 888-7738

NPI assigned

Jul 28, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

GastroenterologyAlso: Family Practice, Internal Medicine

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Medical Procare, PLLCGroup PAC ID 0345325551, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: cpan13554@nychhc.direct-ci.com

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.

• Medical Procare, PLLC

  • Specialist
  • Flushing, NY
  • NPI 1225209778
  Medicare reassignment Care Compare group Authorized official
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty practice Group

  • Orthopaedic Surgery Physician
  • Elmhurst, NY
  • NPI 1609120674
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Surgery Physician
  • Elmhurst, NY
  • NPI 1073867040
  NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1619221686
  NPD
• Icahn School of Medicine at Mount Sinai

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1689928657
  NPD
• Booth Medical Associates PC

  • Hepatology Physician
  • Flushing, NY
  • NPI 1912996703

  Internal Medicine

  NPD (past)
• Eighth Avenue Anesthesia PLLC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1205267457
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303171200000",
    "number": "1427062108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553627",
            "telephone_number": "718-888-7728",
            "fax_number": "718-888-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13221 41ST AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553627",
            "telephone_number": "718-888-7728",
            "fax_number": "718-888-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAN",
        "first_name": "CALVIN",
        "middle_name": "Q",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203898",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "203898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brigit C. Palathra, MD
• Carmela Cataluna Palma, DNP, CRNA
• Adil Palwala
• Pamir Mobile Diagnostic Services Inc.
• Pan-Asian Center for Empowerment, Inc
• Cynthia Pan, MD
• Diana Pan
• Jialiang Pan
• Sharlene S Pan, RPH
• Yann Jia Pan, DPT

• Gastroenterology Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.