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QUEENY PAN
NPI 1043717085
Anesthesiology in Louisville, KY

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(917) 796-1183 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Queeny Pan NPPES

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

QUEENY PAN (NPI 1043717085) is an individual anesthesiology provider in Louisville, Kentucky, licensed in New Jersey (25MA12341200) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of University Of Louisville School Of Medicine (2020).

NPPES Registry Identity

NPI1043717085
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameQUEENY PAN
Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702
Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (917) 796-1183
Phone(917) 796-1183
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2020
Enumeration DateApril 6, 2018
Last NPPES UpdateJuly 29, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1043717085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NJ · 25MA12341200
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 S PRESTON ST RM 305, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 1

Other254617206NY · Drivers License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Queeny Pan 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 ID1759820228
PECOS Enrollment IDI20240828002277
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 Queeny Pan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Jersey Healthcare Specialists PC
650 mi
Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 clinicians in this Medicare group
NPI 1174585780 (954) 939-5000

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

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.

JULIANNE GRACE SCHULTZ
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (703) 677-1433
CHELSEA FATHAUER
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (812) 560-7611
QUENTIN VIRGIL WISE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (323) 640-1105
SYMONE JORDAN
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 852-5193
CALEB X HE
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (859) 878-5655
RAHAF ALREFAI
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 810-4028
AUSTIN GREGORY CLARK
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (502) 202-0106
JOHN R DODDS
Student in an Organized Health Care Education/Training Program
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202
Jefferson County (270) 339-1091

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 Queeny Pan's NPI number?

The NPI number for Queeny Pan is 1043717085. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Queeny Pan located?

Queeny Pan practices at 500 S Preston St Rm 305, Louisville, KY 40202. The listed phone number is (917) 796-1183.

What is Queeny Pan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Queeny Pan enrolled in Medicare?

Yes. Queeny Pan 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.

Which organization bills Medicare for Queeny Pan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Queeny Pan reassigns Medicare benefits to New Jersey Healthcare Specialists PC (Hackensack, NJ). 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 Queeny Pan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Queeny Pan affiliated with any hospitals?

According to CMS data, Queeny Pan is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Queeny Pan was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.