PATRICK T. PAN, MD INC
NPI 1518093467
Internal Medicine in Newport Beach, CA

Q: What is Patrick T. Pan, MD Inc's NPI number?

The NPI number for Patrick T. Pan, MD Inc is 1518093467. It was assigned to this organization in the NPPES registry on February 26, 2007.

Q: What is Patrick T. Pan, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 26, 2007

351 HOSPITAL RD, SUITE 407, NEWPORT BEACH, CA 92663(949) 200-7307(949) 200-7456 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Patrick T. Pan, Md Inc NPPES

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

PATRICK T. PAN, MD INC (NPI 1518093467) is a healthcare organization registered as an internal medicine in Newport Beach, California and active in the NPI registry since February 2007. The organization lists Patrick Pan, President, as its authorized official.

NPPES Registry Identity

NPI1518093467

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePATRICK T. PAN, MD INC

Location Address351 HOSPITAL RD, SUITE 407Newport Beach, CA 92663-3506

Mailing Address351 Hospital Rd, Suite 407Newport Beach, CA 92663-3506 · (949) 200-7307 · Fax (949) 200-7456

Phone(949) 200-7307

Fax(949) 200-7456

Organization SubpartNo

Authorized OfficialPatrick PanPresident · (949) 200-7307

Enumeration DateFebruary 26, 2007

Last NPPES UpdateMay 11, 2017

✔ NPI 1518093467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A61505

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

351 HOSPITAL RD, Newport Beach, CA 92663

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Other Identifiers 1

OtherA61505CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick T. Pan, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20071001000865Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patrick T. Pan, MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Patrick Pan, MD

Internal Medicine

NPI 1922057587

351 HOSPITAL RD SUITE 407
Newport Beach, CA 92663

(949) 200-7307

✔ PECOSSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2013915

Patrick T Pan, MD Inc · Newport Beach, CA

Expired · Sep 26, 2026

CLIA Number05D2013915

Laboratory TypePhysician Office

Certificate Effective DateSeptember 27, 2024

Certificate Expiration DateSeptember 26, 2026

Laboratory DirectorPatrick T. Pan

Laboratory Phone(949) 200-7307

Laboratory LocationPatrick T Pan, MD Inc351 Hospital Road, Ste 407, Newport Beach, CA 92663

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Patrick T. Pan, MD Inc's NPI number?

The NPI number for Patrick T. Pan, MD Inc is 1518093467. It was assigned to this organization in the NPPES registry on February 26, 2007.

Where is Patrick T. Pan, MD Inc located?

Patrick T. Pan, MD Inc is located at 351 Hospital Rd Suite 407, Newport Beach, CA 92663. The listed phone number is (949) 200-7307.

What is Patrick T. Pan, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patrick T. Pan, MD Inc enrolled in Medicare?

Yes. Patrick T. Pan, MD Inc is registered in the Medicare PECOS enrollment system.

When is Patrick T. Pan, MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Patrick T. Pan, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Patrick T. Pan, MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patrick T. Pan, MD Inc was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.