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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

IAN PAN MD
NPI 1073140786
Radiology - Diagnostic Radiology in Dallas, TX

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219(510) 683-9500(877) 880-2039 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2026, Jul 6, 2026, Apr 28, 2026 and 1 more (4 updates tracked since 2020).

About Ian Pan Md NPPES

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

IAN PAN MD (NPI 1073140786) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Massachusetts (1024505) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of Warren Alpert Medical School Of Brown University (2020).

NPPES Registry Identity

NPI1073140786
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameIAN PANCredential: MD
Location Address2825 OAK LAWN AVE UNIT 192749Dallas, TX 75219-4688
Mailing Address2825 Oak Lawn Ave Unit 192749Dallas, TX 75219-4688 · (510) 683-9500 · Fax (877) 880-2039
Phone(510) 683-9500
Fax(877) 880-2039
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1073140786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MA · 1024505✔ Licensed in CT · 86020✔ Licensed in MI · 4301518665✔ Licensed in IL · 036.177005✔ Licensed in NC · 2025-02936
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2825 OAK LAWN AVE UNIT 192749, Dallas, TX 75219
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource.Insurance ›

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

Ian Pan 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 ID8820419591
PECOS Enrollment IDI20260722002498
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 Reassignments

5

Medicare enrollment records show Ian Pan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Illinois Radiological Associates, Ltd.
675 mi
Diagnostic Radiology
530 NE GLEN OAK AVENUE
Peoria, IL 61637
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1538192828 (309) 740-4272
Osu Radiology LLC
913 mi
Diagnostic Radiology
520 W 10TH AVE
Columbus, OH 43210
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1912956814 (614) 293-8315
Sutter Valley Medical Foundation
1,080 mi
Diagnostic Radiology
2995 AMERICAN RIVER LN
Las Vegas, NV 89135
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1174997407 (209) 521-6097
St Agnes Healthcare Inc
1,209 mi
Internal Medicine
900 CATON AVE
Baltimore, MD 21229
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1144250176 (667) 234-2149
Pacific Radiology Group Inc
3,794 mi
Specialist
347 KUAKINI ST
Honolulu, HI 96817
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1871577536 (808) 522-0190

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

Hospital Affiliations CMS Care Compare

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75219 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

AJLA KADRIBEGIC MD
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (510) 683-9500
DR. MATTHEW AARON HABER M.D.
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (510) 683-9500
SE JIN AHN M.D.
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (510) 683-9500
DR. TU THAO HAM PHAM M.D.
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (844) 389-5711
DR. SEJAL SHAH M.D.
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (510) 683-9500
CONNOR CORNELIS GEMMELL BYRNE MD
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (510) 683-9500
YVONNE CESENA MORENO MD
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (844) 389-5711
MARCHELLE JUNE BEAN GIANNINI M.D.
Radiology (Diagnostic Radiology)
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219
Dallas County (844) 389-5711

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 Ian Pan's NPI number?

The NPI number for Ian Pan is 1073140786. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Ian Pan located?

Ian Pan practices at 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219. The listed phone number is (510) 683-9500.

What is Ian Pan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ian Pan enrolled in Medicare?

Yes. Ian 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 organizations bill Medicare for Ian Pan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ian Pan reassigns Medicare benefits to 5 organizations: Central Illinois Radiological Associates, Ltd. (Peoria, IL), Osu Radiology LLC (Columbus, OH), Sutter Valley Medical Foundation (Las Vegas, NV), St Agnes Healthcare Inc (Baltimore, MD) and Pacific Radiology Group Inc (Honolulu, HI). Each 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 Ian Pan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ian Pan accept?

Health plans from Blue Cross and Blue Shield of NC and CareSource list Ian Pan 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 Ian Pan affiliated with any hospitals?

According to CMS data, Ian Pan is affiliated with Adventist Health Castle.

When was this NPI record last updated?

The NPPES record for Ian Pan was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.