Stephanie T Phan, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00046908 Issued in WA

Practice address

1300 116TH Ave NE
Bellevue, WA 98004

Phone

(425) 454-7912

Fax

(425) 452-8720

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Ophthalmology

Education

University of California, San Francisco School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Clinic of Bellevue LTD PSGroup PAC ID 5991694192, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.72 of 100Reported as group

Quality

89.44

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Eye Clinic of Bellevue LTD PS

  • Ophthalmology Physician
  • Bellevue, WA
  • NPI 1144358417
  Medicare reassignment Care Compare group NPD
• Eye Clinic of Bellevue LTD PS

  • Eyewear Supplier
  • Mercer Island, WA
  • NPI 1245357862
  NPD
• Eastside Medical Group, LLC

  • Ambulatory Surgical Clinic/Center
  • Issaquah, WA
  • NPI 1750709358
  NPD (past)
• Jay C Grochmal, M.D., P.a.

  • Specialist
  • Baltimore, MD
  • NPI 1457547762
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1902987993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 116TH AVE NE",
            "address_2": "EYE CLINIC OF BELLEVUE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-7912",
            "fax_number": "425-452-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-7912",
            "fax_number": "425-452-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "STEPHANIE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00046908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhi Thi Thuy Pham
• Quang Pham
• Nhat-Phi Brian Phan, PA-C
• Patrick T Phan, M.D.
• Quynh Nhu Thi Phan, DO
• April Phantana-Angkool, M.D.
• Pharmacy Plus Inc
• Hannah Jeanette Phelps, CCC-SLP
• Brandi Lei Phernetton, D.C.
• Philip K Jung DDS PS

• Ophthalmology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.