Active NPI
Jeffrey Charles Pan, M.D.
- Diagnostic Radiology Physician
- Abington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD071123L
- Practice address
- 1200 Old York Rd
Abington, PA 19001-3720 - Phone
- (215) 481-3926
- Fax
- (215) 542-7936
- NPI assigned
- Oct 7, 2005
- Last updated
- Oct 2, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD071123L | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2022049597 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | ME159266 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 036158936 | IL |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
PO Box 6750
Portsmouth, NH 03802-6750
Phone (800) 208-7069
Other practice location 1
8375 Dix Ellis Trl Ste 201
Jacksonville, FL 32256-8241
Phone (877) 276-9842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017992020005 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MI, MO, IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Rutgers New Jersey Medical School, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787
1 Hurley PLZ
Flint, MI 48503-5902
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (904) 399-5550
325 Penn Rd
Unit 564
Wynnewood, PA 19096-1465
Phone (309) 671-8282
413 Dogwood Dr
Maple Glen, PA 19002-6111
Phone (907) 339-9455
6000 Red Tail LN
Gibsonia, PA 15044-6046
Phone (380) 235-6195
901 N Penn St
Unit P302
Philadelphia, PA 19123-3283
Phone (615) 312-0600
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Empire State Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Group of Abington PC | Diagnostic Radiology | Current | Accepting new patients |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| HR Physician Services | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Affiliates of Central New Jersey PC | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Mountain Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Imaging Group of Delaware, PA | Diagnostic Radiology | Past | Accepting new patients |
| Lower Keys Radiology Inc | Diagnostic Radiology | Past | Accepting new patients |
| MRI Professionals Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Abington Memorial Hospital | Past | Accepting new patients | |
| Southeast Radiology LTD | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 71)
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185
2115 Little Rd
Trinity, FL 34655
Phone 7278418225410
100 Frist Ct
Ste B
Columbus, GA 31909
710 Center St
Ste B
Columbus, GA 31901
1050 Valdosta Hwy
#A
Homerville, GA 31634
106 Lukken Industrial Dr W
Lagrange, GA 30240
Phone (706) 882-8128
1420 Vernon Rd
Lagrange, GA 30240
Phone (706) 880-7411
1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962
2200 Vernon St
Lagrange, GA 30240
300 Medical Dr
Ste 707
Lagrange, GA 30240
Phone (706) 803-7920
303 Medical Dr
Ste 405
Lagrange, GA 30240
Phone (706) 812-2229
1937 Momentum Pl
Chicago, IL 60689
1005 Broadway St
Quincy, IL 62301
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
44 W Main St
Fordsville, KY 42343
Phone (270) 276-3150
105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 33
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.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
PA
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
PA
-
- Diagnostic Radiology Physician
- Hamilton, NJ
- NPI 1811994791
PA
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Redeemer Hospital & Medical Center
- General Acute Care Hospital
- Meadowbrook, PA
- NPI 1750371522
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
-
dba Ascension St. Vincent Hospital
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
dba Ascension St. Vincent - Avon
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1760470322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6750",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038026750",
"telephone_number": "800-208-7069",
"fax_number": "610-956-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 OLD YORK RD",
"city": "ABINGTON",
"state": "PA",
"postal_code": "190013720",
"telephone_number": "215-481-3926",
"fax_number": "215-542-7936"
}
],
"practiceLocations": [
{
"address_1": "8375 Dix Ellis Trl Ste 201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322568241",
"country_code": "US",
"telephone_number": "877-276-9842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAN",
"first_name": "JEFFREY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD071123L",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2022049597",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME159266",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036158936",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017992020005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.