VAN T PHAN – Endocrinology, Diabetes & Metabolism Physician, NPI 1356845036

VAN T PHAN is a healthcare provider. based in Middletown, Connecticut. specializing in ENDOCRINOLOGY. They hold a License No. 74145 (CT). The NPI Number for VAN T PHAN is 1356845036

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
VAN T PHAN
NPI
1356845036
Phone
(860) 358-2470
Address
540 SAYBROOK RD STE 210
Enumeration Date
19 March 2018
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8603582470
Graduation Year
2011 (15 years ago)
PAC ID
0143601872
Group Practice PAC ID
5092611731
Professional Enrollment ID
I20230720003610
Address ID
CT064574759MI540XXRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

222 ENDOCRINOLOGY in CT

Provider Addresses for VAN T PHAN

  • 540 SAYBROOK RD STE 210

    MIDDLETOWN, CT 064574759

    Phone: (860) 358-2470

    Type: Mailing

  • NYC Health + Hospitals/Jacobi, 1400, Pelham Parkway South, The Bronx, Bronx County, New York, 10461, United States

    BRONX, NY 104611197

    Phone: (773) 366-5286

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $410.

Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Horizon Therapeutics plc ($178).

Total Amount

$410

General + Research + Ownership

Payments

4

Total payment records

General Amount

$410

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230720003610IEndocrinologyCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes5044$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
View full utilization report →

Insurance plans in this area (ZIP 06457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092611731View full group profile
NameSpecialtyState
Family Practice, HospitalistCT
-CT
H O S P I T A L I S TDC
H O S P I T A L I S TCT
Nurse PractitionerCT
Family Practice, Geriatric MedicineCT
-CT
H O S P I T A L I S TCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

How do payers reference VAN T PHAN?
For VAN T PHAN, use NPI 1356845036 as the unique 10-digit identifier.
Is VAN T PHAN still an active registrant?
VAN T PHAN carries an active NPI according to the public dataset.
What clinical focus is listed for VAN T PHAN?
At a glance, VAN T PHAN is tied to Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
Is VAN T PHAN located near Middletown?
VAN T PHAN currently maps to Middletown, Connecticut in this extract.
When was this NPI issued?
Enumeration for VAN T PHAN is noted as March 19, 2018 where the registry provides it.

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