DR. KHUONG DINH PHAN (D.O.) – Internal Medicine Physician, NPI 1033119540

DR. KHUONG DINH PHAN (D.O.) is a healthcare provider. based in Arlington, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. L7520 (TX). The NPI Number for DR. KHUONG DINH PHAN (D.O.) is 1033119540

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHUONG DINH PHAN (D.O.)
NPI
1033119540
Phone
(817) 473-7197
Address
8200 MATLOCK RD STE 100
Enumeration Date
26 July 2005
Last Update Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174737197
Graduation Year
2002 (24 years ago)
PAC ID
8224060462
Group Practice PAC ID
9234223579
Professional Enrollment ID
I20050908000429
Address ID
TX760632627MA920XXNXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. KHUONG DINH PHAN (D.O.)

  • 8200 MATLOCK RD STE 100

    ARLINGTON, TX 760024805

    Phone: (817) 473-7197

    Fax: (817) 473-7198

    Type: Location

  • North Beach Street, Fort Worth, Tarrant County, Texas, 76244, United States

    PMB 296

    FORT WORTH, TX 762444919

    Phone: (817) 473-7197

    Fax: (817) 473-7198

    Type: Mailing

  • 800 Highlander Ave Ste 200

    Midlothian, TX 760653515

    Phone: (817) 473-7200

    Fax: (817) 473-7198

    Type: Location

  • 920, Highway 287 North, Mansfield, Tarrant County, Texas, 76063, United States

    SUITE 308

    MANSFIELD, TX 760632627

    Phone: (817) 473-7197

    Fax: (817) 473-7198

    Type: Location

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: 2005-09-08

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
I20050908000429IInternal MedicineTXTBD

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 minutes1,778410$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes263229$0
99214Established patient office or other outpatient visit, 30-39 minutes216112$0
99238Hospital discharge day management, 30 minutes or less146126$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10191$0
View full utilization report →

Insurance plans in this area (ZIP 76002)

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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: 9234223579View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerAL

Reviews

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Frequently asked questions

Where can patients find DR. KHUONG DINH PHAN (D.O.)'s NPI?
You can confirm DR. KHUONG DINH PHAN (D.O.) with NPI 1033119540; it appears in the national provider directory.
Does this profile mean DR. KHUONG DINH PHAN (D.O.) is currently active?
Yes — DR. KHUONG DINH PHAN (D.O.) appears active in the national provider directory.
Does DR. KHUONG DINH PHAN (D.O.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. KHUONG DINH PHAN (D.O.). Clinical services aligned with this taxonomy classification.
Does DR. KHUONG DINH PHAN (D.O.) practice in Texas?
You will see Arlington, Texas on file for DR. KHUONG DINH PHAN (D.O.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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