Individual provider Active NPI

Luan Q Pho, M.D.

  • Internal Medicine Physician
  • Allen, TX
National Provider Identifier
1821080995
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0361 Issued in TX
Practice address
1105 N Central Expwy #260
Presbyterian Med Ctr
Allen, TX 75013-6104
Phone
(972) 747-4700
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0361 TX Primary

Addresses

Primary practice location

1105 N Central Expwy #260
Presbyterian Med Ctr
Allen, TX 75013-6104

Mailing address

1105 N Central Expwy
Mob 1 Suite 260
Allen, TX 75013-6104

Other identifiers 1

IdentifierTypeStateIssuer
130894204MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000568 TX Practitioner - Internal Medicine 7012810096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1105 Central Expy N
Suite 260
Allen, TX 75013-6104
Phone (972) 747-4700

1105 N Central Expressway
Texas Health Presbyterian Hospital Allen
Allen, TX 75013-6104
Phone (972) 747-4700

1105 N Central Expressway Mob-2
Texas Health Presbyterian Hospital Allen Wo
Allen, TX 75013-6104
Phone (972) 747-4700

1105 N Central Expwy
Mob 1 Suite 260
Allen, TX 75013-6104

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K0361TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luan Q. Pho, M.D., P.a. Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients

Locations

1105 Central Expy N
Ste 250
Allen, TX 75013
Phone (972) 747-4747

1105 Central Expy N
Ste 260
Allen, TX 75013
Phone (972) 747-4700

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1821080995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N CENTRAL EXPWY",
            "address_2": "MOB 1 SUITE 260",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N CENTRAL EXPWY #260",
            "address_2": "PRESBYTERIAN MED CTR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136104",
            "telephone_number": "972-747-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHO",
        "first_name": "LUAN",
        "middle_name": "Q",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130894204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.