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CHARLIE PHUNG
NPI 1336647874
Anesthesiologist Assistant in Houston, TX

Active since January 30, 2018Accepts Medicare Assignment
82.38/100
CMS Quality Rating
6431 FANNIN ST STE 5020, HOUSTON, TX 77030(713) 500-6200(713) 500-0648 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charlie Phung NPPES

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

CHARLIE PHUNG (NPI 1336647874) is an individual anesthesiologist assistant in Houston, Texas, licensed in Texas (24570611) and active in the NPI registry since January 2018. He is affiliated with Memorial Hermann - Texas Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336647874
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameCHARLIE PHUNG
Location Address6431 FANNIN ST STE 5020Houston, TX 77030-1501
Mailing Address5214 Cornish StHouston, TX 77007-1910 · (281) 415-8958
Phone(713) 500-6200
Fax(713) 500-0648
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1336647874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in TX · 24570611
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
6431 FANNIN ST STE 5020, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlie Phung 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 ID4082963970
PECOS Enrollment IDI20180827002105

Medicare Billing Reassignments

2

Medicare enrollment records show Charlie Phung reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Compass Anesthesia Providers PLLC
20 mi
Anesthesiology
333 N TEXAS AVE
Webster, TX 77598
  • Reassigned Medicare billing, Texas enrollment
  • 403 clinicians in this Medicare group
NPI 1669829750 (281) 335-1700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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 Charlie Phung's NPI number?

The NPI number for Charlie Phung is 1336647874. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Charlie Phung located?

Charlie Phung practices at 6431 Fannin St Ste 5020, Houston, TX 77030. The listed phone number is (713) 500-6200.

What is Charlie Phung's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Charlie Phung enrolled in Medicare?

Yes. Charlie Phung 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.

Which organizations bill Medicare for Charlie Phung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Phung reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Compass Anesthesia Providers PLLC (Webster, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlie Phung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlie Phung accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Charlie Phung 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 Charlie Phung affiliated with any hospitals?

According to CMS data, Charlie Phung is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Charlie Phung 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.