DR. CYNTHIA PAN MD
NPI 1164474896
Pediatrics - Pediatric Nephrology in Milwaukee, WI

Q: What is Cynthia Pan's NPI number?

The NPI number for Cynthia Pan is 1164474896. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Cynthia Pan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Pan was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 17, 2006PECOS Enrolled

9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGY, MILWAUKEE, WI 53226(414) 337-7140(414) 337-7145 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Cynthia Pan Md NPPES

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

DR. CYNTHIA PAN MD (NPI 1164474896) is an individual pediatric nephrology provider in Milwaukee, Wisconsin, licensed in Wisconsin (30605) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164474896

Entity TypeIndividualFemale

Primary Taxonomy2080P0210X

Provider Legal NameDR. CYNTHIA PANCredential: MD

Location Address9000 W WISCONSIN AVE, PEDIATRIC NEPHROLOGYMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin Ave, Pediatric NephrologyMilwaukee, WI 53226-4874 · (414) 337-7140 · Fax (414) 337-7145

Phone(414) 337-7140

Fax(414) 337-7145

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateOctober 24, 2014

✔ NPI 1164474896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0210X

License✔ Licensed in WI · 30605

Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

9000 W WISCONSIN AVE, Milwaukee, WI 53226

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Other Identifiers 4

Other002000129IHumana

Medicare UPINF07696

Medicaid1164474896WI

Medicare PIN0846 73601WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).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. Cynthia Pan 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.

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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)