Active NPI
Andrew Phan, M.D.
- Internal Medicine Physician
- Dallas, TX
National Provider Identifier
1467437863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K0360
- Practice address
- 8210 Walnut Hill LN.
Ste. 230
Dallas, TX 75231 - Phone
- (972) 284-7000
- Fax
- (972) 284-7001
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K0360 | TX | Primary |
Addresses
Primary practice location
8210 Walnut Hill LN.
Ste. 230
Dallas, TX 75231
Mailing address
PO Box 678513
Dallas, TX 75267-8513
Phone (972) 792-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116458404 | Medicaid | TX | |
| 8AG052 | Other | TX | BCBS |
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
- Internal Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8210 Walnut Hill LN
Suite 230
Dallas, TX 75231-4488
Phone (972) 284-7000
Hospital & facility affiliations
- DFW Home Health
- Amcare Pro Home Health
- Texas Health Presbyterian Hospital Dallas
- Baylor University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0360 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primamed Physicians PLLC | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | Accepting new patients |
Interoperability endpoints
- andrew.phan@hea.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
dba Healthcore Physician's Group
- Internal Medicine Physician
- Dallas, TX
- NPI 1548489222
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
dba Baylor Scott & White Urgent Care Plus
- Urgent Care Clinic/Center
- Plano, TX
- NPI 1619922549
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
dba Amcare Pro Home Health
- Home Health Agency
- Richardson, TX
- NPI 1447427125
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1467437863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 678513",
"city": "DALLAS",
"state": "TX",
"postal_code": "752678513",
"telephone_number": "972-792-5700",
"fax_number": "972-788-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 WALNUT HILL LN.",
"address_2": "STE. 230",
"city": "DALLAS",
"state": "TX",
"postal_code": "75231",
"telephone_number": "972-284-7000",
"fax_number": "972-284-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K0360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116458404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AG052",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.