MR. CHRISTOPHER NGUYEN KHOI PHAN DO
NPI 1093653206
Student in an Organized Health Care Education/Training Program in Kissimmee, FL

Q: What is Christopher Phan's NPI number?

The NPI number for Christopher Phan is 1093653206. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Christopher Phan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Christopher Phan was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 23, 2026PECOS Enrolled

720 W OAK ST STE 201, KISSIMMEE, FL 34741(407) 518-2772 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Christopher Nguyen Khoi Phan Do NPPES

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

MR. CHRISTOPHER NGUYEN KHOI PHAN DO (NPI 1093653206) is an individual student in an organized health care education/training program in Kissimmee, Florida and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093653206

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. CHRISTOPHER NGUYEN KHOI PHANCredential: DO

Location Address720 W OAK ST STE 201Kissimmee, FL 34741-4998

Mailing Address4595 Tigua Island CtWinter Park, FL 32792-9300 · (407) 733-0504

Phone(407) 518-2772

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 22, 2026

✔ NPI 1093653206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

720 W OAK ST STE 201, Kissimmee, FL 34741

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Christopher Nguyen Khoi Phan Do 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.

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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.

NEHA MEDA

Student in an Organized Health Care Education/Training Program