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CUONG THI THANH PHAN
NPI 1013610757
Clinical Nurse Specialist in Houston, TX

Active since March 22, 2023PECOS Enrolled
7401 MAIN ST, HOUSTON, TX 77030(713) 799-2300(713) 794-3380 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2023, Mar 22, 2023 (2 updates tracked since 2023).

About Cuong Thi Thanh Phan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUONG THI THANH PHAN (NPI 1013610757) is an individual clinical nurse specialist in Houston, Texas, licensed in Texas (1007155) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013610757
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameCUONG THI THANH PHAN
Location Address7401 MAIN STHouston, TX 77030
Mailing Address7401 Main StHouston, TX 77030-4509 · (713) 799-2300 · Fax (713) 794-3380
Phone(713) 799-2300
Fax(713) 794-3380
Sole ProprietorNo
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 24, 20232 updates tracked since enumeration
NPPES CertifiedJuly 24, 2023
✔ NPI 1013610757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in TX · 1007155
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
7401 MAIN ST, Houston, TX 77030
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cuong Thi Thanh Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Cuong Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utmb Faculty Group Practice
47 mi
General Practice
301 UNIVERSITY BLVD
Galveston, TX 77555
  • Reassigned Medicare billing, Texas enrollment
  • 2,222 clinicians in this Medicare group
NPI 1942241146 (409) 772-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID P LONCARICH
Orthopaedic Surgery (Foot and Ankle Surgery)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
REBECCA BRENNAN TADLOCK NP
Nurse Practitioner (Family)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (833) 520-1440
ANGELA NGUYEN PA-C
Physician Assistant (Surgical)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
SUSAN BALL R.N.
Registered Nurse
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
DR. MICHAEL MCCANN MD
Pain Medicine (Interventional Pain Medicine)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
DR. DAVID W WIMBERLEY
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
MS. LISA DANIELLE WILSFORD PA-C
Physician Assistant
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 799-2300
JEFFREY C LONDON M.D.
Radiology (Diagnostic Radiology)
7401 MAIN ST
HOUSTON, TX 77030
Harris County (713) 621-7436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cuong Phan's NPI number?

The NPI number for Cuong Phan is 1013610757. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Cuong Phan located?

Cuong Phan practices at 7401 Main St, Houston, TX 77030. The listed phone number is (713) 799-2300.

What is Cuong Phan's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Cuong Phan enrolled in Medicare?

Yes. Cuong Phan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cuong Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cuong Phan reassigns Medicare benefits to Utmb Faculty Group Practice (Galveston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cuong Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cuong Phan accept?

Health plans from Oscar Insurance Company list Cuong Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cuong Phan was last updated on July 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.