MR. LAN N PHAM (M.D.) – Internal Medicine Physician, NPI 1548264252

MR. LAN N PHAM (M.D.) is a healthcare provider. based in Vancouver, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD00037318 (WA). The NPI Number for MR. LAN N PHAM (M.D.) is 1548264252

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. LAN N PHAM (M.D.)
NPI
1548264252
Phone
(360) 729-1462
Address
1115 SE 164TH AVE
Enumeration Date
9 June 2005
Last Update Date
6 March 2017

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
3606364814
Graduation Year
1996 (30 years ago)
PAC ID
7618033580
Group Practice PAC ID
5890689293
Professional Enrollment ID
I20090227000428
Address ID
WA986322367LO1615XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for MR. LAN N PHAM (M.D.)

  • PeaceHealth, 1115, Southeast 164th Avenue, Vancouver, Clark County, Washington, 98683, United States

    DEPT. 358

    VANCOUVER, WA 986839324

    Phone: (360) 729-1462

    Fax: (360) 729-3104

    Type: Mailing

  • PeaceHealth St. John Medical Center, 1615, Delaware Street, Longview, Cowlitz County, Washington, 98632, United States

    LONGVIEW, WA 986322367

    Phone: (360) 501-3601

    Fax: (360) 501-3648

    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: 2009-02-27

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
I20090227000428IInternal MedicineWATBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes119115$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7777$0
99291Critical care, first 30-74 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 98683)

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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: 5890689293View full group profile
NameSpecialtyState
-WA
-WA
Nurse PractitionerWA
H E M A T O L O G YCA
Nurse PractitionerWA
P S Y C H I A T R YIL
-WA
Family PracticeWA
P S Y C H I A T R YWA
Clinical Social WorkerWA

Reviews

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Frequently asked questions

Does MR. LAN N PHAM (M.D.) have a public NPI I can cite?
Public records show MR. LAN N PHAM (M.D.) under NPI 1548264252.
Should I treat MR. LAN N PHAM (M.D.) as an active provider?
Patients and plans typically see MR. LAN N PHAM (M.D.) as active in the national extract.
What services align with MR. LAN N PHAM (M.D.)'s listing?
MR. LAN N PHAM (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. LAN N PHAM (M.D.) in Vancouver, Washington?
For routing, start with Vancouver, Washington for MR. LAN N PHAM (M.D.), then verify phone and hours locally.
Can I export MR. LAN N PHAM (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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