Active NPI
Tuan Phung, PA-C
- Physician Assistant
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18029
- Practice address
- 5228 W Plano Pkwy
Plano, TX 75093-5005 - Phone
- (972) 250-5700
- NPI assigned
- Aug 17, 2024
- Last updated
- Aug 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18029 | TX | Primary |
Addresses
Primary practice location
5228 W Plano Pkwy
Plano, TX 75093-5005
Mailing address
6205 Red Cedar Cir
Fort Smith, AR 72916-8868
Phone (479) 719-0667
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- tuan.phung.1@31411.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Plano, TX
- NPI 1184285116
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legent Orthopedic Hospital
- General Acute Care Hospital
- Carrollton, TX
- NPI 1316505043
-
dba Sagecrest Hospital Grapevine
- Long Term Care Hospital
- Grapevine, TX
- NPI 1659536944
-
- Rehabilitation Hospital Unit
- Carrollton, TX
- NPI 1356133615
-
dba Baylor Scott & White Med Cntr - Frisco
- General Acute Care Hospital
- Frisco, TX
- NPI 1922002674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723852800000",
"number": "1659103653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6205 RED CEDAR CIR",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729168868",
"telephone_number": "479-719-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 W PLANO PKWY",
"city": "PLANO",
"state": "TX",
"postal_code": "750935005",
"telephone_number": "972-250-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "TUAN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-17",
"last_updated": "2024-08-17",
"certification_date": "2024-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Paula Phillips, OT
- Rachel Phillips, FNP
- Shathea Phinizee
- Phoenixfit (PhoenixFit Physical Therapy)
- Doungpan Phongpaichit, OTR
- Phyllis J. Gee M.D., P.a. (Willowbend Health & Wellness Associates)
- Physiatry of Plano, PLLC
- Physical Therapy Experts, PLLC
- Physician Acute Care Services Plano, PLLC
- Physician Assistant Services of Texas L.L.P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.