DR. NGAC NGUYEN PHAN (MD) – General Practice Physician, NPI 1245582345

DR. NGAC NGUYEN PHAN (MD) is a healthcare provider. based in Missouri city, Texas. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 0116025291 (VA). The NPI Number for DR. NGAC NGUYEN PHAN (MD) is 1245582345

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NGAC NGUYEN PHAN (MD)
NPI
1245582345
Phone
(713) 806-1855
Address
3640 HAMPTON DR
Enumeration Date
12 October 2012
Last Update Date
25 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127924402
Graduation Year
2011 (15 years ago)
PAC ID
5395078885
Group Practice PAC ID
3375835838
Professional Enrollment ID
I20190617000772
Address ID
TX774597150MI4422XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

448 GENERAL PRACTICE in TX

Provider Addresses for DR. NGAC NGUYEN PHAN (MD)

  • 3640 HAMPTON DR

    MISSOURI CITY, TX 77459

    Phone: (713) 806-1855

    Type: Location

  • 8901 Wisconsin Ave

    Bldg 19 Room 6407

    Bethesda, MD 20889

    Phone: (301) 295-4503

    Type: Location

  • PO BOX 392556

    PITTSBURGH, PA 152519556

    Phone: (713) 806-1855

    Type: Mailing

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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-05-28 • Largest payer in this snapshot: Smith+Nephew, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$15
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: 2019-06-17

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
I20190617000772IGeneral PracticeTXTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,453323$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1,226309$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes406219$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less40397$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes390383$0
View full utilization report →

Insurance plans in this area (ZIP 77459)

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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: 3375835838View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseasePA

Reviews

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Frequently asked questions

How is DR. NGAC NGUYEN PHAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. NGAC NGUYEN PHAN (MD) with NPI 1245582345.
Does CMS list DR. NGAC NGUYEN PHAN (MD) as active?
Yes — DR. NGAC NGUYEN PHAN (MD) is active in the NPI listing used on this page.
What healthcare role does DR. NGAC NGUYEN PHAN (MD) hold?
Scheduling teams often label DR. NGAC NGUYEN PHAN (MD) under General Practice Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NGAC NGUYEN PHAN (MD) on a map?
Expect Missouri City, Texas as a primary anchor for DR. NGAC NGUYEN PHAN (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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