DR. NGUYEN H PHAN MD
NPI 1194721407
Internal Medicine - Clinical Cardiac Electrophysiology in Milwaukee, WI

Q: What is Nguyen Phan's NPI number?

The NPI number for Nguyen Phan is 1194721407. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Nguyen Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Nguyen Phan was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 22, 2005PECOS EnrolledAccepts Medicare Assignment

75.75/100

CMS Quality Rating

2350 N LAKE DR, STE 206, MILWAUKEE, WI 53211(414) 298-7280(414) 298-7281 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Nguyen H Phan Md NPPES

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

DR. NGUYEN H PHAN MD (NPI 1194721407) is an individual clinical cardiac electrophysiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (45546 020) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1996).

NPPES Registry Identity

NPI1194721407

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. NGUYEN H PHANCredential: MD

Location Address2350 N LAKE DR, STE 206Milwaukee, WI 53211-4528

Mailing Address2350 N Lake Dr, Ste 206Milwaukee, WI 53211-4528 · (414) 298-7280 · Fax (414) 298-7281

Phone(414) 298-7280

Fax(414) 298-7281

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1996

Enumeration DateJune 22, 2005

Last NPPES UpdateNovember 24, 2010

✔ NPI 1194721407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in WI · 45546 020

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

2350 N LAKE DR, Milwaukee, WI 53211

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Other Identifiers 7

Medicare UPING87119WI

Medicare PIN025250361WI

Medicare PIN000002525-0361

Medicare PINP00794206

Medicaid34379700WI

Medicare ID-Type Unspecified01845WI · Medicare Number

Medicare PINWI1634-002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

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

Dr. Nguyen H Phan Md 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 ID9537054994

PECOS Enrollment IDI20040216001175

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.

Areas of Expertise CMS Part B claims 31

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

436 services317 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

375 services184 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

294 services213 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

196 services103 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

127 services30 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

127 services99 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

103 services68 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

71 services71 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

58 services47 patients

Programming of dual lead pacemaker system 93280

44 services33 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

41 services27 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

35 services35 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

34 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

34 services34 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services32 patients

Programming of single lead implantable defibrillator system 93282

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

32 services21 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

27 services27 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

27 services21 patients

Programming of heart rhythm stimulation after drug infusion 93623

Programming of heart rhythm stimulation after drug infusion is a process to regulate your heartbeat. After a medication is administered into your body, a device is programmed to monitor and correct irregular heart rhythms, ensuring your heart functions optimally.

27 services27 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

21 services19 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

16 services15 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

15 services15 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

14 services14 patients

Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement 93641

This procedure involves the assessment of a device implanted in your chest to regulate your heart rhythm. It can control either one (single) or two (dual) chambers of your heart. The device, called a pacing cardioverter-defibrillator, also has a generator that is checked or replaced when needed.

14 services14 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

14 services14 patients

Removal and replacement of dual lead permanent pacemaker 33228

This procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.

13 services13 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension St Francis Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520078

Location3237 S 16th StMilwaukee, WI 53215 · Milwaukee County

Emergency services

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520138

Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County

Emergency services Birthing friendly

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI

OwnershipPhysician

CMS Certification Number520194

Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.16

Promoting Interoperability

Improvement Activities

Cost

57.63

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.

IRINA KOSTOVA DIMITROVA M.D.

Obstetrics & Gynecology

2350 N LAKE DR
MILWAUKEE, WI 53211

Milwaukee County (414) 585-1949

COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC

Clinic/Center (Multi-Specialty)

2350 N LAKE DR
MILWAUKEE, WI 53211

Milwaukee County (414) 585-1000

DR. LYLE GENE HENRY MD

Surgery

2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211

Milwaukee County (414) 298-7220

KELLY A ISHERWOOD PA-C

Physician Assistant

2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211

Milwaukee County (414) 298-7280

MICHAEL E KEEFE MD

Internal Medicine (Hematology & Oncology)

2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211

Milwaukee County (414) 298-7250

MRS. AUDRA LYNN FELKER NP-C

Nurse Practitioner (Family)

2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211

Milwaukee County (414) 271-1633

CATHERINE BARES APNP

Nurse Practitioner

2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211

Milwaukee County (414) 298-7250

RACHEL TORGERSON KOEBEL PT, MPT, GCS

Physical Therapist

2350 N LAKE DR
MILWAUKEE, WI 53211

Milwaukee County (414) 296-2554

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 Nguyen Phan's NPI number?

The NPI number for Nguyen Phan is 1194721407. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Nguyen Phan located?

Nguyen Phan practices at 2350 N Lake Dr Ste 206, Milwaukee, WI 53211. The listed phone number is (414) 298-7280.

What is Nguyen Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Nguyen Phan enrolled in Medicare?

Yes. Nguyen 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.

What insurance does Nguyen Phan accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Nguyen 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.

Is Nguyen Phan affiliated with any hospitals?

According to CMS data, Nguyen Phan is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension St Francis Hospital, Ascension SE Wisconsin Hospital, Aurora St Lukes Medical Center and Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Nguyen Phan was last updated on November 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.