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DR. DUY-PHU PHAN DDS
NPI 1144600123
Dentist - General Practice in Pleasanton, CA

Active since June 04, 2015PECOS Enrolled
4555 HOPYARD RD STE C-19, PLEASANTON, CA 94588(917) 932-3217 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 2, 2018, Feb 11, 2017 (3 updates tracked since 2017).

About Dr. Duy-phu Phan Dds NPPES

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

DR. DUY-PHU PHAN DDS (NPI 1144600123) is an individual general practice provider in Pleasanton, California, licensed in California (DDS101456) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Mateo.

NPPES Registry Identity

NPI1144600123
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DUY-PHU PHANCredential: DDS
Location Address4555 HOPYARD RD STE C-19Pleasanton, CA 94588
Mailing Address7550 St Patrick Way Apt 558Dublin, CA 94568-4887 · (917) 932-3217
Phone(917) 932-3217
Sole ProprietorYes
Enumeration DateJune 4, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1144600123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS101456
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4555 HOPYARD RD STE C-19, Pleasanton, CA 94588
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Secondary Practice Location 1

Location 11950 Elkhorn Ct Unit 321San Mateo, CA 94403-2620 · Phone (917) 932-3217

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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. Duy-phu Phan Dds 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 94588 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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

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

VISUAL EYES OPTOMETRY INC
Optometrist (Vision Therapy)
4555 HOPYARD RD STE C-19
PLEASANTON, CA 94588
Alameda County (925) 463-7330

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 Duy-phu Phan's NPI number?

The NPI number for Duy-phu Phan is 1144600123. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Duy-phu Phan located?

Duy-phu Phan practices at 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588. The listed phone number is (917) 932-3217.

What is Duy-phu Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Duy-phu Phan enrolled in Medicare?

Yes. Duy-phu Phan is registered in the Medicare PECOS enrollment system.

What insurance does Duy-phu Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Duy-phu Phan 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.

When was this NPI record last updated?

The NPPES record for Duy-phu Phan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.