DR. PATRICK E PHELAN MD - NPI 1083771398

Q: What is Patrick Phelan's NPI number?

The NPI number for Patrick Phelan is 1083771398. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Patrick Phelan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Phelan was last updated on December 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Patrick E Phelan Md NPPES

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

DR. PATRICK E PHELAN MD (NPI 1083771398) is an individual pediatrics provider in Indio, California, licensed in California (C173151) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Woodstock.

NPPES Registry Identity

NPI1083771398

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PATRICK E PHELANCredential: MD

Location Address82934 CIVIC CENTER DRIndio, CA 92201-4308

Mailing Address11175 Campus St # A-1111Loma Linda, CA 92350-1700 · (909) 558-8142

Phone(442) 666-5076

Sole ProprietorNo

Enumeration DateJanuary 3, 2007

Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1083771398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · C173151✔ Licensed in IL · 036-095191✔ Licensed in GA · 86455

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

82934 CIVIC CENTER DR, Indio, CA 92201

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Secondary Practice Location 1

Location 12000 Lake AveWoodstock, IL 60098-7401 · Phone (815) 337-7100

Other Identifiers 1

Medicaid036095191 1IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick E Phelan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92201 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

Other Providers at the Same Location NPPES 7

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

DIANA GASCON MD

Family Medicine