Simon Tin Yeang Pan, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1402 Issued in TX

Practice address

9896 Bellaire Blvd Ste H
Houston, TX 77036-3496

Phone

(713) 270-8682

Fax

(713) 270-8990

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pan Acea Foot Center, P.a.

  • Podiatrist
  • Houston, TX
  • NPI 1689859027
  Medicare reassignment NPD Authorized official
• Foot Care Associates of Texas PA

  • Foot & Ankle Surgery Podiatrist
  • Kingwood, TX
  • NPI 1902917107
  NPD (past)
• Thanh Van DO, M. D., P. a.

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1487769113
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1841394343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9896 BELLAIRE BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363496",
            "telephone_number": "713-270-8682",
            "fax_number": "713-270-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9896 BELLAIRE BLVD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363496",
            "telephone_number": "713-270-8682",
            "fax_number": "713-270-8990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14248 Bellaire Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770837536",
            "country_code": "US",
            "telephone_number": "713-270-8682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAN",
        "first_name": "SIMON",
        "middle_name": "TIN YEANG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018608201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Szu-Chin Pan, M.D.
• Jonathan Pan
• Kelsey Pan, MD/MPH
• Michael Pan, M.D.
• Sharon R Pan, MD
• Wei Pan, M.D.
• Windsen Kuo Pan, M.D.
• Panacea Home Healthcare System, Inc.
• Panache' Assisted Living/ Personal Care, LLC
• Panamericana Family Medicine Clinic PLLC

• Podiatrist in Houston, TX
• Providers in Houston, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.

Verify at the official NPI Registry.