Active NPI
Thinh Phu Phan, MD
- Radiation Oncology Physician
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- M4444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1590473-01 | Other | TX | GROUP MEDICAID |
| 1590648-01 | Other | TX | GROUP MEDICAID |
| 1871594424 | Other | TX | GROUP NPI |
| 00250T | Other | TX | GROUP MEDICARE PTAN |
| 00251T | Other | TX | GROUP MEDICARE PTAN |
| 1700017449 | Other | GROUP NPI | |
| 1477553477 | Other | GROUP NPI | |
| 1487887667 | Other | GROUP 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A80413 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Texas Oncology PA | Radiation Oncology | Current | Accepting new patients |
| Millennium Physicians Association, PLLC | Radiation Oncology | Past | Accepting new patients |
| Northwoods Urology Association | Past | Accepting new patients | |
| Expert Cancer Physicians,PLLC | Past | Accepting new patients | |
| Coastal Bend Cancer Center, PA | Past | Accepting new patients | |
| Sa Expert Physicians PLLC | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Specialist
- Corpus Christi, TX
- NPI 1043299415
-
- Specialist
- Corpus Christi, TX
- NPI 1902034556
-
dba Millennium Oncology
- Multi-Specialty Clinic/Center
- The Woodlands, TX
- NPI 1255397733
Radiation Oncology
-
- Specialist
- Houston, TX
- NPI 1437383908
-
- Specialist
- San Antonio, TX
- NPI 1053642983
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.