ELIZABETH PHUNG-HART (D.O.) – Internal Medicine Physician, NPI 1649681636

ELIZABETH PHUNG-HART (D.O.) is a healthcare provider. based in Las vegas, Nevada. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials D.O.. They hold a License No. SL1020 (NV). The NPI Number for ELIZABETH PHUNG-HART (D.O.) is 1649681636

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH PHUNG-HART (D.O.)
NPI
1649681636
Phone
(702) 388-8436
Address
620 SHADOW LANE
Enumeration Date
13 May 2014
Last Update Date
13 May 2014

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
2094647681
Graduation Year
2014 (12 years ago)
PAC ID
1254657208
Group Practice PAC ID
7911916499
Professional Enrollment ID
I20210726000548
Address ID
CA952045530ST2333XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

60 INTERVENTIONAL CARDIOLOGY in NV

Provider Addresses for ELIZABETH PHUNG-HART (D.O.)

  • 620 SHADOW LANE

    LAS VEGAS, NV 891064194

    Phone: (702) 388-8436

    Fax: (702) 388-8431

    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)

CMS reports 173 Open Payments records for all available years, with a total value of $4,033.

Total Amount is formed as General ($4,033) + Research ($0) + Ownership ($0) = $4,033.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($561).

Total Amount

$4,033

General + Research + Ownership

Payments

173

Total payment records

General Amount

$4,033

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

Latest reported date

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: 2021-07-26

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
I20210726000548IInterventional CardiologyCATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes905375$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report526354$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes395166$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function388381$0
J2785Injection, regadenoson, 0.1 mg25263$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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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: 7911916499View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Interventional CardiologyCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiovascular Disease (Cardiology)CA
Interventional CardiologyCA
Cardiovascular Disease (Cardiology)WI

Reviews

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Frequently asked questions

What unique ID ties claims to ELIZABETH PHUNG-HART (D.O.)?
NPI 1649681636 is assigned to ELIZABETH PHUNG-HART (D.O.) under the national enumeration system.
Is ELIZABETH PHUNG-HART (D.O.)'s NPI currently valid?
The extract we use shows ELIZABETH PHUNG-HART (D.O.) as active.
What does ELIZABETH PHUNG-HART (D.O.) treat or focus on?
Patients typically see ELIZABETH PHUNG-HART (D.O.) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH PHUNG-HART (D.O.)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for ELIZABETH PHUNG-HART (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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