NPI Details
DR. Ngoc An Phan, M.D. is an internal medicine in Philadelphia, PA with 48 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Ngoc An Phan, M.D. NPI is 1346246998. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
909 S 11TH ST
PHILADELPHIA, PA
ZIP 19147-701
Phone: (215) 923-6080
The NPI 1346246998 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 CLIA number assigned to this NPI record is 39D0201888 - physician office with a certificate type of Certificate of Waiver.
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.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96401)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Established patient home visit, typically 40 minutes (HCPCS:99349)
- Established patient home visit, typically 25 minutes (HCPCS:99348)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Administration of vaccine (HCPCS:90471)
The enumeration date for this NPI number is 6/27/2005 and was last updated on 1/12/2012.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | MD039037L | PENNSYLVANIA | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | B41655 | MEDICARE UPIN | PENNSYLVANIA | |
| 2 | 428533 | MEDICARE ID-TYPE UNSPECIFIED | PENNSYLVANIA | |
| 3 | 0090017101 | MEDICAID | PENNSYLVANIA | |
