Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NGOC BAO PHAN NP
NPI 1124838529
Nurse Practitioner - Gerontology in Houston, TX

Active since January 09, 2025PECOS EnrolledAccepts Medicare Assignment
6411 FANNIN STREET, HOUSTON, TX 77030(346) 370-1526 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ngoc Bao Phan Np NPPES

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

NGOC BAO PHAN NP (NPI 1124838529) is an individual gerontology provider in Houston, Texas, licensed in Texas (830835) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124838529
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNGOC BAO PHANCredential: NP
Location Address6411 FANNIN STREETHouston, TX 77030
Mailing Address6411 Fannin StHouston, TX 77030-1501 · (346) 370-1526
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1124838529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 830835
6411 FANNIN STREET, Houston, TX 77030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ngoc Bao Phan Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698259109
PECOS Enrollment IDI20260324000183
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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Internal Medicine (Critical Care Medicine)
6411 FANNIN STREET
HOUSTON, TX 77030
Pathology (Anatomic Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Internal Medicine (Geriatric Medicine)
6411 FANNIN STREET
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030
Radiology (Vascular & Interventional Radiology)
6411 FANNIN STREET, MSB 2.130B
HOUSTON, TX 77030
Pathology (Anatomic Pathology & Clinical Pathology)
6411 FANNIN STREET
HOUSTON, TX 77030

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 Ngoc Phan's NPI number?

The NPI number for Ngoc Phan is 1124838529. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Ngoc Phan located?

Ngoc Phan practices at 6411 Fannin Street, Houston, TX 77030. The listed phone number is (346) 370-1526.

What is Ngoc Phan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ngoc Phan enrolled in Medicare?

Yes. Ngoc Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ngoc Phan was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.