NPIMap

Individual provider Active NPI

Cuong Q Phan, MD

  • Radiation Oncology Physician
  • Spring, TX
National Provider Identifier
1578564241
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M3691 Issued in TX
Practice address
25511 Budde Rd Ste 1201
Belle Building
Spring, TX 77380-2091
Phone
(281) 364-1707
Fax
(281) 364-0028
NPI assigned
Aug 3, 2005
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 39212 KY
Specialist 174400000X NU
Radiation Oncology Physician 2085R0001X M3691 TX Primary

Addresses

Primary practice location

25511 Budde Rd Ste 1201
Belle Building
Spring, TX 77380-2091

Mailing address

25511 Budde Rd Ste 1201
Belle Building
Spring, TX 77380-2091
Phone (281) 364-1707

Other identifiers 4

IdentifierTypeStateIssuer
1590648-01OtherTXGROUP MEDICAID
00251TOtherTXGROUP MEDICARE PIN
1590473-01OtherTXGROUP MEDICAID
00250TOtherTXGROUP MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, MN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061006000116 TX Practitioner - Radiation OncologyPractitioner - Internal Medicine 7315980927 Reassigns benefits to 1 organization
I20250605001152 AZ Practitioner - Radiation Oncology 7315980927
I20260319000061 MN Practitioner - Radiation Oncology 7315980927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 101
Duluth, MN 55802-2227
Phone (218) 249-7880

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5849
Phone (432) 687-1949

500 W 3Rd St
Odessa, TX 79761-5010
Phone (432) 335-8275

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Feb 8, 2026 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Feb 8, 2026 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince May 1, 2026 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince May 1, 2026 Accepting new patients
Sa Expert Physicians PLLC Specialist PastSince Feb 26, 2010 Accepting new patients
Sadler Clinic Association Past Accepting new patients
St. Luke's Hospital of Duluth Past Accepting new patients
Northwoods Urology Association Specialist Past Accepting new patients
Kingman Healthcare, Inc Specialist Past Accepting new patients
Greater Houston Physician's Medical Past Accepting new patients
United Surgical Associates, P.S.C. Past Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients

Locations

1739 E Beverly Ave
Kingman, AZ 86409
Phone (928) 263-4547

1739 E Beverly Ave
Ste 113
Kingman, AZ 86409
Phone (928) 692-4665

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1001 E Superior St
Ste 101
Duluth, MN 55802
Phone (218) 249-3081

22710 Professional Dr
Kingwood, TX 77339
Phone (281) 298-2847

Interoperability endpoints

  • Direct secure messaging: cuong.phan@txo.ikm.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1578564241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 1201",
            "address_2": "BELLE BUILDING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802091",
            "telephone_number": "281-364-1707",
            "fax_number": "281-364-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 BUDDE RD STE 1201",
            "address_2": "BELLE BUILDING",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802091",
            "telephone_number": "281-364-1707",
            "fax_number": "281-364-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "CUONG",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "39212",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M3691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1590648-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00251T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1590473-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "00250T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.