DR. PHUNG T DANG (M.D.) – Interventional Pain Medicine Physician, NPI 1174626840

DR. PHUNG T DANG (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. R5G74 (MO). The NPI Number for DR. PHUNG T DANG (M.D.) is 1174626840

Main info

Female
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHUNG T DANG (M.D.)
NPI
1174626840
Phone
(314) 277-2163
Address
12414 STRATFORD RIDGE CT
Enumeration Date
7 September 2006
Last Update Date
19 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148814000
Graduation Year
1977 (49 years ago)
PAC ID
5597714576
Professional Enrollment ID
I20050117000464
Address ID
MO630175703CH14561RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

239 PHYSICAL MEDICINE AND REHABILITATION in MO

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Provider Addresses for DR. PHUNG T DANG (M.D.)

  • 12414, Stratford Ridge Court, Questover, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SAINT LOUIS, MO 631416383

    Phone: (314) 277-2163

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-01-17

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
I20050117000464IPhysical Medicine And RehabilitationMOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16749$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5038$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4747$0
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Insurance plans in this area (ZIP 63141)

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Reviews

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Frequently asked questions

How is DR. PHUNG T DANG (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. PHUNG T DANG (M.D.) with NPI 1174626840.
Can I rely on DR. PHUNG T DANG (M.D.) being an active provider?
As of the registry snapshot, DR. PHUNG T DANG (M.D.) is marked active.
What is DR. PHUNG T DANG (M.D.) best known for clinically?
Directory data describes DR. PHUNG T DANG (M.D.) with Interventional Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. PHUNG T DANG (M.D.) serve?
DR. PHUNG T DANG (M.D.)'s listing highlights Saint Louis, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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