Individual provider Active NPI

Jeffrey Charles Pan, M.D.

  • Diagnostic Radiology Physician
  • Abington, PA
National Provider Identifier
1760470322
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD071123L Issued in PA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0017992020005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, MO, IL, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20101005001048 PA Practitioner - Diagnostic Radiology 7911917398 Reassigns benefits to 15 organizations
I20211210000160 MI Practitioner - Diagnostic Radiology 7911917398 Reassigns benefits to 1 organization
I20230913001836 MO Practitioner - Diagnostic Radiology 7911917398 Reassigns benefits to 1 organization
I20231011001642 IL Practitioner - Diagnostic Radiology 7911917398 Reassigns benefits to 1 organization
I20241007002440 FL Practitioner - Diagnostic Radiology 7911917398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Alaska Radiology Associates IncGroup PAC ID 0648182725, 37 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

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

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Sep 30, 2023 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 24, 2022 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Dec 24, 2021 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 28, 2023 Accepting new patients
Blessing Hospital CurrentSince Sep 30, 2023 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Jul 20, 2021 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 13, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Mar 30, 2024 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Oct 1, 1984 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2024 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2024 Accepting new patients
HR Physician Services CurrentSince Jan 1, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 3, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Apr 13, 2024 Accepting new patients
Hurley Medical Center CurrentSince Oct 20, 2021 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jun 17, 2022 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Nov 5, 2021 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Apr 6, 2022 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Oct 20, 2021 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 PastSince Jan 2, 2022 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

  • FHIR API: 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.

View all 33

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.