KHANH PHUNG
NPI 1053704593
Internal Medicine in Philadelphia, PA

Active since March 09, 2015PECOS EnrolledAccepts Medicare Assignment
1407 RHAWN ST, PHILADELPHIA, PA 19111(267) 957-7027 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Khanh Phung NPPES

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

KHANH PHUNG (NPI 1053704593) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS024157) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Nazareth Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1053704593
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKHANH PHUNG
Location Address1407 RHAWN STPhiladelphia, PA 19111-2803
Mailing Address41 University Dr Ste 300Newtown, PA 18940-1873
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2015
Enumeration DateMarch 9, 2015
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1053704593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS024157
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1407 RHAWN ST, Philadelphia, PA 19111

Secondary Practice Location 1

Location 12601 Holme AvePhiladelphia, PA 19152-2007 · Phone (267) 957-7027

Accepted Insurance

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

Khanh Phung 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 ID8426393026
PECOS Enrollment IDI20241101001809
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.

Hospital Affiliations CMS Care Compare

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

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
1407 RHAWN ST
PHILADELPHIA, PA 19111
Internal Medicine
1407 RHAWN ST
PHILADELPHIA, PA 19111
Nurse Practitioner (Family)
1407 RHAWN ST
PHILADELPHIA, PA 19111
Family Medicine
1407 RHAWN ST
PHILADELPHIA, PA 19111
Family Medicine
1407 RHAWN ST
PHILADELPHIA, PA 19111
Nurse Practitioner (Family)
1407 RHAWN ST
PHILADELPHIA, PA 19111
Family Medicine
1407 RHAWN ST
PHILADELPHIA, PA 19111
Physical Medicine & Rehabilitation
1407 RHAWN ST
PHILADELPHIA, PA 19111

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 Khanh Phung's NPI number?

The NPI number for Khanh Phung is 1053704593. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Where is Khanh Phung located?

Khanh Phung practices at 1407 Rhawn St, Philadelphia, PA 19111. The listed phone number is (267) 957-7027.

What is Khanh Phung's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khanh Phung enrolled in Medicare?

Yes. Khanh Phung 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.

What insurance does Khanh Phung accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Khanh Phung 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.

Is Khanh Phung affiliated with any hospitals?

According to CMS data, Khanh Phung is affiliated with Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Khanh Phung was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.