Individual provider Active NPI

Thinh Phu Phan, MD

  • Radiation Oncology Physician
  • Midland, TX
National Provider Identifier
1609808864
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M4444 Issued in TX
Practice address
400 Rosalind Redfern Grover Pkwy Ste 100
Midland, TX 79701-5849
Phone
(432) 687-1949
Fax
(432) 687-4251
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A80413 CA
Radiation Oncology Physician 2085R0001X M4444 TX Primary

Addresses

Primary practice location

400 Rosalind Redfern Grover Pkwy Ste 100
Midland, TX 79701-5849

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

25511 Budde Rd Ste 1201
Belle Building
Spring, TX 77380-2091
Phone (281) 364-1707 ext. 201

Other identifiers 8

IdentifierTypeStateIssuer
1590473-01OtherTXGROUP MEDICAID
1590648-01OtherTXGROUP MEDICAID
1871594424OtherTXGROUP NPI
00250TOtherTXGROUP MEDICARE PTAN
00251TOtherTXGROUP MEDICARE PTAN
1700017449OtherGROUP NPI
1477553477OtherGROUP NPI
1487887667OtherGROUP NPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061004000591 TX Practitioner - Radiation Oncology 7315943941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

400 Rosalind Redfern Grover Pkwy
Suite 100
Midland, TX 79701-5849
Phone (432) 687-1949

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80413CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Radiation Oncology CurrentSince Jan 1, 2025 Accepting new patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Jan 1, 2025 Accepting new patients
Millennium Physicians Association, PLLC Radiation Oncology Past Accepting new patients
Northwoods Urology Association Past Accepting new patients
Expert Cancer Physicians,PLLC PastSince Dec 1, 2009 Accepting new patients
Coastal Bend Cancer Center, PA PastSince Aug 1, 2002 Accepting new patients
Sa Expert Physicians PLLC PastSince Jun 15, 2010 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

130 Medical Center Pkwy
Ste 9
Huntsville, TX 77340
Phone (936) 439-0111

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

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

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

400 Rosalind Redfern Grover Pkwy
Ste 100
Midland, TX 79701
Phone (432) 687-1949

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: thinh.phan@txo.ikm.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1609808864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015849",
            "telephone_number": "432-687-1949",
            "fax_number": "432-687-4251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 1201",
            "address_2": "Belle Building",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773802091",
            "country_code": "US",
            "telephone_number": "281-364-1707 x201",
            "fax_number": "281-364-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THINH",
        "middle_name": "PHU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A80413",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "M4444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1590473-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "1590648-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1871594424",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "00250T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "00251T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1700017449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1477553477",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487887667",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.