PHIET PHUNG (MD) – Gastroenterology Physician, NPI 1396950465

PHIET PHUNG (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. C52757 (CA). The NPI Number for PHIET PHUNG (MD) is 1396950465

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PHIET PHUNG (MD)
NPI
1396950465
Phone
(702) 579-3203
Address
PO BOX 35380
Enumeration Date
11 May 2007
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7149951000
Graduation Year
2000 (26 years ago)
PAC ID
0648362046
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20070815000226
Address ID
CA928332727FU1501XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

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Provider Addresses for PHIET PHUNG (MD)

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

  • Magnolia Street, Huntington Beach, Orange County, California, 92655, United States

    HUNTINGTON BEACH, CA 926462232

    Phone: (714) 968-0068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2023-01-20 • Largest payer in this snapshot: McKesson Medical-Surgical, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-20

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: 2007-08-15

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
I20070815000226IGastroenterologyCATBD

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
45380Biopsy of large bowel using a flexible endoscope2424$0
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk1313$0
View full utilization report →

Insurance plans in this area (ZIP 89133)

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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: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

Can I cross-check PHIET PHUNG (MD) using NPI 1396950465?
NPI 1396950465 belongs to PHIET PHUNG (MD); compare other details if you need extra assurance.
Is PHIET PHUNG (MD) still an active registrant?
PHIET PHUNG (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for PHIET PHUNG (MD)?
At a glance, PHIET PHUNG (MD) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is PHIET PHUNG (MD) located near Las Vegas?
PHIET PHUNG (MD) currently maps to Las Vegas, Nevada in this extract.
Does PHIET PHUNG (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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