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BINH AN PHUONG PHAN MD NPI 1457391039


NPI Information

NPI: 1457391039
Provider Name: BINH AN PHUONG PHAN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

PECOS Registration: Yes

Address:
2160 S 1ST AVE
BLDG 110 RM 6221
MAYWOOD, IL
ZIP 60153
Phone: (708) 327-2784
Get Directions

Binh An Phuong Phan, MD is a cardiovascular disease internal medicine in Maywood, IL with 22 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Binh An Phuong Phan, MD NPI is 1457391039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

2160 S 1ST AVE
BLDG 110 RM 6221
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 327-2784
Fax: (708) 327-2771

The NPI 1457391039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 6/8/2006 and was last updated on 9/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease036121748ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10198831OTHERWASHINGTONLIWA
2P00313338MEDICARE PINWASHINGTON
3I38808MEDICARE UPINWASHINGTON
4G8855272MEDICARE PINWASHINGTON
58431439MEDICAIDWASHINGTON
6BSWAOTHERWASHINGTON3092PH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.