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KIM PHAN DO PC
NPI 1083211577
Internal Medicine - Hematology & Oncology in Palm Springs, CA

Active since October 07, 2020
1180 N INDIAN CANYON DR STE E218, PALM SPRINGS, CA 92262(760) 416-4800(760) 416-4903 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim Phan Do Pc NPPES

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

KIM PHAN DO PC (NPI 1083211577) is a healthcare organization registered as a hematology & oncology in Palm Springs, California and active in the NPI registry since October 2020. The organization lists Kim M Phan, Owner, as its authorized official.

NPPES Registry Identity

NPI1083211577
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameKIM PHAN DO PC
Location Address1180 N INDIAN CANYON DR STE E218Palm Springs, CA 92262-4885
Mailing AddressPo Box 2466Palm Springs, CA 92263-2466 · (760) 416-4800 · Fax (760) 416-4903
Phone(760) 416-4800
Fax(760) 416-4903
Organization SubpartNo
Authorized OfficialKim M PhanOwner · (502) 418-4451
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1083211577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1180 N INDIAN CANYON DR STE E218, Palm Springs, CA 92262
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Phan Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kim Phan Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kim Phan, D.O.
Hematology/Oncology
NPI 1295001592
1180 N INDIAN CANYON DR STE E218
Palm Springs, CA 92262
(760) 416-4800
✔ PECOS✔ Accepts MedicareSame address

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

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 Kim Phan Do PC's NPI number?

The NPI number for Kim Phan Do PC is 1083211577. It was assigned to this organization in the NPPES registry on October 7, 2020.

Where is Kim Phan Do PC located?

Kim Phan Do PC is located at 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262. The listed phone number is (760) 416-4800.

What is Kim Phan Do PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kim Phan Do PC enrolled in Medicare?

Yes. Kim Phan Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kim Phan Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hematology/Oncology) reassigns their Medicare billing to Kim Phan Do PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kim Phan Do PC was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.