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NATHAN PHAN MD
NPI 1013658814
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: May 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2023, Apr 5, 2022 (2 updates tracked since 2022).

About Nathan Phan Md NPPES

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

NATHAN PHAN MD (NPI 1013658814) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2022).

NPPES Registry Identity

NPI1013658814
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNATHAN PHANCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address1000 W Carson StTorrance, CA 90502-2059
Phone(203) 688-4242
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateMay 27, 20232 updates tracked since enumeration
NPPES CertifiedMay 27, 2023
✔ NPI 1013658814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
20 YORK ST, New Haven, CT 06510
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Phan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739549247
PECOS Enrollment IDI20250925002548
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.

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.

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
NEEHARIKA THOTTEMPUDI MBBS
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242

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 Nathan Phan's NPI number?

The NPI number for Nathan Phan is 1013658814. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Nathan Phan located?

Nathan Phan practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Nathan Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Phan enrolled in Medicare?

Yes. Nathan Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nathan Phan was last updated on May 27, 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.