Individual provider Active NPI

Huy M Phan, M.D., PH.D.

  • Clinical Cardiac Electrophysiology Physician
  • Chandler, AZ
National Provider Identifier
1447368840
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
33719 Issued in AZ
Practice address
595 N. Dobson Road
Suite A5
Chandler, AZ 85224
Phone
(480) 534-7308
Fax
(480) 534-7309
NPI assigned
Aug 26, 2006
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33719 AZ
Clinical Cardiac Electrophysiology Physician 207RC0001X 33719 AZ Primary

Addresses

Primary practice location

595 N. Dobson Road
Suite A5
Chandler, AZ 85224

Mailing address

595 N. Dobson Road
Suite A5
Chandler, AZ 85224
Phone (480) 534-7308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20061003000507 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 5799780334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

595 N Dobson Rd
Suite A5
Chandler, AZ 85224-3404
Phone (480) 534-7308

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair30
Removal of tissue14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33719AZMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Heart Rhythm Specialists Cardiovascular Disease CurrentSince Dec 18, 2017 Accepting new patients
Southwest Ep Clinic Clinical Cardiac Electrophysiology Past Accepting new patients
Southwest Ep Clinic Clinical Cardiac Electrophysiology Past Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients

Locations

595 N Dobson Rd
Ste 5
Chandler, AZ 85224

595 N Dobson Rd
Ste 5A
Chandler, AZ 85224
Phone (480) 237-9954

22707 S Ellsworth Rd
Ste 105
Queen Creek, AZ 85142
Phone (480) 677-2800

22707 S Ellsworth Rd
Ste H105
Queen Creek, AZ 85142
Phone (480) 289-4550

Organizations & group practices 4

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 3

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1447368840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N. DOBSON ROAD",
            "address_2": "SUITE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-534-7308",
            "fax_number": "480-534-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N. DOBSON ROAD",
            "address_2": "SUITE A5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-534-7308",
            "fax_number": "480-534-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HUY",
        "middle_name": "M",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "33719",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "33719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.