KHANG D PHAN
NPI 1265270342
Student in an Organized Health Care Education/Training Program in Chicago, IL
About Khang D Phan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHANG D PHAN (NPI 1265270342) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khang D Phan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CHICAGO, IL 60637
CHICAGO, IL 60637
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 Khang Phan's NPI number?
The NPI number for Khang Phan is 1265270342. It was assigned to this individual provider in the NPPES registry on July 15, 2024.
Where is Khang Phan located?
Khang Phan practices at 5841 S Maryland Ave # Mc8016, Chicago, IL 60637. The listed phone number is (812) 341-4132.
What is Khang Phan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Khang Phan enrolled in Medicare?
Yes. Khang Phan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Khang Phan was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Khang D Phan · NPI 1265270342
Student in an Organized Health Care Education/Training Program provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 15, 2024.
## Identity
- **NPI:** 1265270342 (Entity type: Individual)
- **Enumerated:** July 15, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE # MC8016, Chicago, IL 60637-1443
- **Phone:** (812) 341-4132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265270342) · Data from the CMS NPPES public registry.