Active NPI
Twan Phanijphand, D.O.
- Gastroenterology Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- OS16137
- Practice address
- 1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139 - Phone
- (850) 601-8177
- Fax
- (850) 862-0605
- NPI assigned
- Apr 3, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OS16137 | FL | Primary |
| Gastroenterology Physician | 207RG0100X | 5101015350 | MI | |
| Gastroenterology Physician | 207RG0100X | 2010014123 | MO |
Addresses
Primary practice location
1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139
Mailing address
1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139
Phone (850) 601-8177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156440050 | Other | MO | MEDICARE PTAN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139
Phone (850) 855-4048
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
- HCA Florida Twin Cities Hospital
- Sacred Heart Hospital on the Emerald Coast
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 85.58
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 116 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015350 | MI | MD | Gastroenterology Physician |
| 2010014123 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Coast Infectious Diseases Medical Group, PA | Current | Accepting new patients | |
| Emerald Coast Infectious Diseases Medical Group, P.a. | Gastroenterology | Current | Accepting new patients |
| Florida Trauma Services, LLC | Current | Accepting new patients |
Locations
1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547
Phone (850) 855-4048
320 Racetrack Rd NW
Ste 100B
Ft Walton Bch, FL 32547
Phone (850) 357-8151
917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- twan.phanijphand@hca5.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Fort Walton Beach, FL
- NPI 1720017882
Gastroenterology
-
- Community/Retail Pharmacy
- Fort Walton Beach, FL
- NPI 1154773950
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
-
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1790806248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 LEWIS TURNER BLVD",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471139",
"telephone_number": "850-601-8177",
"fax_number": "850-862-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 LEWIS TURNER BLVD",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471139",
"telephone_number": "850-601-8177",
"fax_number": "850-862-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHANIJPHAND",
"first_name": "TWAN",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "OS16137",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101015350",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2010014123",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN #",
"identifier": "156440050",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.