SYDNEY PHAN – Family Medicine Physician, NPI 1194302489

SYDNEY PHAN is a healthcare provider. based in Las vegas, Nevada. specializing in FAMILY PRACTICE. They hold a License No. DO3655 (NV). The NPI Number for SYDNEY PHAN is 1194302489

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY PHAN
NPI
1194302489
Phone
(702) 463-4040
Address
5380 S RAINBOW BLVD STE 120
Enumeration Date
24 March 2021
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7029926888
Graduation Year
2021 (5 years ago)
PAC ID
3072916246
Group Practice PAC ID
4183991458
Professional Enrollment ID
I20240909000267
Address ID
NV891064195LA1524XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for SYDNEY PHAN

  • 5380 S RAINBOW BLVD STE 120

    LAS VEGAS, NV 891181878

    Phone: (702) 463-4040

    Fax: (702) 968-5681

    Type: Mailing

  • 1701 W CHARLESTON BLVD STE 590

    LAS VEGAS, NV 891022396

    Phone: (702) 992-6875

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: Gilead Sciences, Inc. ($30).

Total Amount

$51

General + Research + Ownership

Payments

2

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

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: 2024-09-09

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
I20240909000267IFamily PracticeNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89118)

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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: 4183991458View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check SYDNEY PHAN using NPI 1194302489?
NPI 1194302489 belongs to SYDNEY PHAN; compare other details if you need extra assurance.
Is there an active status for SYDNEY PHAN?
For scheduling context, SYDNEY PHAN is shown as active in the registry.
What kind of doctor is SYDNEY PHAN?
SYDNEY PHAN is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SYDNEY PHAN located near Las Vegas?
SYDNEY PHAN currently maps to Las Vegas, Nevada in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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