DR. MIMI PHAN (M.D.) – Pulmonary Disease Physician, NPI 1093035610

DR. MIMI PHAN (M.D.) is a healthcare provider. based in Houston, Texas. specializing in PULMONARY DISEASE. They hold the professional credentials M.D.. They hold a License No. BP10038072 (TX). The NPI Number for DR. MIMI PHAN (M.D.) is 1093035610

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIMI PHAN (M.D.)
NPI
1093035610
Phone
(281) 955-0338
Address
13219 DOTSON RD STE 210
Enumeration Date
4 June 2010
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2819550338
Graduation Year
2010 (16 years ago)
PAC ID
4486944055
Group Practice PAC ID
1658512595
Professional Enrollment ID
I20160609002400
Address ID
TX770704308HO13219RDXX327
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,186 PULMONARY DISEASE in TX

Provider Addresses for DR. MIMI PHAN (M.D.)

  • 13219 DOTSON RD STE 210

    HOUSTON, TX 770704308

    Phone: (281) 955-0338

    Fax: (281) 469-0741

    Type: Mailing

  • 11307 FM 1960 RD W

    STE 100

    HOUSTON, TX 770653687

    Phone: (713) 798-5588

    Type: Mailing

  • 3601 N MACGREGOR WAY

    QUENTIN MEASE

    HOUSTON, TX 770048004

    Phone: (713) 873-4667

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 159 Open Payments records for all available years, with a total value of $3,803.

Total Amount is formed as General ($3,803) + Research ($0) + Ownership ($0) = $3,803.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($721).

Total Amount

$3,803

General + Research + Ownership

Payments

159

Total payment records

General Amount

$3,803

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2016-06-09

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
I20160609002400IPulmonary DiseaseTXTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes764320$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes479233$0
99214Established patient office or other outpatient visit, 30-39 minutes20989$0
99291Critical care, first 30-74 minutes13878$0
99215Established patient office or other outpatient visit, 40-54 minutes8451$0
View full utilization report →

Insurance plans in this area (ZIP 77070)

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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: 1658512595View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineTX
G A S T R O E N T E R O L O G YTX
Pulmonary Disease, Internal MedicineTX
Allergy/Immunology, Pediatric MedicineTX
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineTX
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseTX
Critical Care (Intensivists)NY
Pulmonary DiseaseTX
Pulmonary Disease, Critical Care (Intensivists)IL
Internal Medicine, Pulmonary DiseasePA

Reviews

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Frequently asked questions

Can I verify DR. MIMI PHAN (M.D.) with an NPI only?
You can start verification with NPI 1093035610 for DR. MIMI PHAN (M.D.), then check state licensing separately.
Does the file indicate DR. MIMI PHAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. MIMI PHAN (M.D.) as active.
What is DR. MIMI PHAN (M.D.) best known for clinically?
Directory data describes DR. MIMI PHAN (M.D.) with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MIMI PHAN (M.D.)?
DR. MIMI PHAN (M.D.)'s geographic hint is Houston, Texas in our summary view.
Is the information about DR. MIMI PHAN (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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