TINA PHAN MD
NPI 1295594620
Surgery in Boston, MA

Q: What is Tina Phan's NPI number?

The NPI number for Tina Phan is 1295594620. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Tina Phan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tina 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.

Active since March 18, 2024PECOS Enrolled

800 WASHINGTON ST # 437, BOSTON, MA 02111(617) 636-5891 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2025, Jul 5, 2024 (2 updates tracked since 2024).

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About Tina Phan Md NPPES

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

TINA PHAN MD (NPI 1295594620) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (3016276) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295594620

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameTINA PHANCredential: MD

Location Address800 WASHINGTON ST # 437Boston, MA 02111-1552

Mailing Address800 Washington St # 437Boston, MA 02111-1552 · (617) 636-5891

Phone(617) 636-5891

Sole ProprietorNo

Enumeration DateMarch 18, 2024

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1295594620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MA · 3016276

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 WASHINGTON ST # 437, Boston, MA 02111

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Phan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 4

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

DR. MONICA ELIZABETH GOODSTEIN M.D., M.P.H.

Surgery

800 WASHINGTON ST # 437, TUFTS MEDICAL CENTER DEPARTMENT OF SURGERY
BOSTON, MA 02111

Suffolk County (617) 636-5891

TINA TIAN MD

Surgery

800 WASHINGTON ST # 437
BOSTON, MA 02111

Suffolk County (617) 636-5891

DR. ANAND YOGESH SHAH M.D.

Surgery (Vascular Surgery)

800 WASHINGTON ST # 437
BOSTON, MA 02111

Suffolk County (617) 636-5000

NASEEM AKRAM BOU-AYASH MD

Student in an Organized Health Care Education/Training Program

800 WASHINGTON ST # 437
BOSTON, MA 02111

Suffolk County (617) 636-5891

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 Tina Phan's NPI number?

The NPI number for Tina Phan is 1295594620. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Tina Phan located?

Tina Phan practices at 800 Washington St # 437, Boston, MA 02111. The listed phone number is (617) 636-5891.

What is Tina Phan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tina Phan enrolled in Medicare?

Yes. Tina Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina 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.