DR. EVELYN TIFFANY PAN MD
NPI 1083176549
Obstetrics & Gynecology in Dallas, TX
About Dr. Evelyn Tiffany Pan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EVELYN TIFFANY PAN MD (NPI 1083176549) is an individual obstetrics & gynecology provider in Dallas, Texas, licensed in Texas (U1104) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Baylor College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Evelyn Tiffany Pan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Evelyn Pan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75390
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
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.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75390
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 Evelyn Pan's NPI number?
The NPI number for Evelyn Pan is 1083176549. It was assigned to this individual provider in the NPPES registry on April 3, 2019.
Where is Evelyn Pan located?
Evelyn Pan practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-4866.
What is Evelyn Pan's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Evelyn Pan enrolled in Medicare?
Yes. Evelyn Pan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Evelyn Pan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Pan reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Evelyn Pan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Evelyn Pan accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Evelyn 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 Evelyn Pan affiliated with any hospitals?
According to CMS data, Evelyn Pan is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..
When was this NPI record last updated?
The NPPES record for Evelyn Pan was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Dr. Evelyn Tiffany Pan, MD · NPI 1083176549
Obstetrics & Gynecology physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 3, 2019.
## Identity
- **NPI:** 1083176549 (Entity type: Individual)
- **Enumerated:** April 3, 2019
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** U1104 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5323 HARRY HINES BLVD, Dallas, TX 75390-9032
- **Phone:** (214) 648-4866
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Texas Southwestern Medical Center At Dallas (NPI 1114992161, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083176549) · Data from the CMS NPPES public registry.