Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Q: 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.

Q: What is Ian Pan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ian Pan was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2020PECOS Enrolled

2825 OAK LAWN AVE UNIT 192749, DALLAS, TX 75219(510) 683-9500(877) 880-2039 Get Directions Write a Review

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

Record update history: Jul 6, 2026, Apr 28, 2026, Mar 24, 2020 (3 updates tracked since 2020).

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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 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 UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 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 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.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Pan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820419591

PECOS Enrollment IDI20250826000164

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.

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.

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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)