ANTHONY PHAN NIKKO (MD) – Dermatology Physician, NPI 1962649491

ANTHONY PHAN NIKKO (MD) is a healthcare provider. based in Houston, Texas. specializing in DERMATOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. K5639 (TX). The NPI Number for ANTHONY PHAN NIKKO (MD) is 1962649491

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY PHAN NIKKO (MD)
NPI
1962649491
Phone
(713) 960-1311
Address
4707 EIGEL ST STE 100
Enumeration Date
21 January 2009
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7139601311
Graduation Year
1996 (30 years ago)
PAC ID
0345397311
Group Practice PAC ID
6002146677
Professional Enrollment ID
I20090408000246
Address ID
TX770073417HO4707XSTXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

1,284 DERMATOLOGY in TX

Provider Addresses for ANTHONY PHAN NIKKO (MD)

  • 4707 EIGEL ST STE 100

    HOUSTON, TX 770073417

    Phone: (713) 960-1311

    Fax: (713) 960-1325

    Type: Mailing

  • 27150 Highway 290 Ste 100

    Cypress, TX 774337224

    Phone: (832) 653-3300

    Fax: (832) 653-6407

    Type: Location

  • 2112 W Davis St

    Conroe, TX 773042049

    Phone: (713) 960-1311

    Fax: (713) 960-1325

    Type: Location

  • 20303 Kingsland Blvd Ste 100

    Katy, TX 774503010

    Phone: (713) 960-1311

    Fax: (713) 960-1325

    Type: Location

  • 4707, Eigel Street, Washington Avenue Coalition / Memorial Park, Washington Avenue Corridor, Houston, Harris County, Texas, 77007, United States

    STE 100

    HOUSTON, TX 770073417

    Phone: (713) 960-1311

    Fax: (713) 960-1325

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 172 Open Payments records for all available years, with a total value of $2,964.

Total Amount is formed as General ($2,964) + Research ($0) + Ownership ($0) = $2,964.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: ABBVIE INC. ($488).

Total Amount

$2,964

General + Research + Ownership

Payments

172

Total payment records

General Amount

$2,964

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

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: 2009-04-08

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
I20090408000246IDermatologyTXTBD

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
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter38819$0
17003Destruction of precancer skin growth, 2-14 growths28958$0
99213Established patient office or other outpatient visit, 20-29 minutes174111$0
17110Destruction of skin growth, 1-14 growths12585$0
17000Destruction of precancer skin growth, 1 growth12181$0
View full utilization report →

Insurance plans in this area (ZIP 77007)

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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: 6002146677View full group profile
NameSpecialtyState
Physician AssistantMI
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for ANTHONY PHAN NIKKO (MD) in the U.S.?
In the U.S., ANTHONY PHAN NIKKO (MD) is identified by NPI 1962649491.
Is ANTHONY PHAN NIKKO (MD) currently accepting referrals based on NPI status?
Registry metadata lists ANTHONY PHAN NIKKO (MD) as active.
What services align with ANTHONY PHAN NIKKO (MD)'s listing?
ANTHONY PHAN NIKKO (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ANTHONY PHAN NIKKO (MD)?
ANTHONY PHAN NIKKO (MD) shows a connection to Houston, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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