MR. LAN N PHAM M.D.
NPI 1548264252
Internal Medicine in Longview, WA

Q: What is Lan Pham's NPI number?

The NPI number for Lan Pham is 1548264252. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Lan Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lan Pham was last updated on March 6, 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.

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

1615 DELAWARE ST, LONGVIEW, WA 98632(360) 501-3601(360) 501-3648 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Mr. Lan N Pham M.d. NPPES

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

MR. LAN N PHAM M.D. (NPI 1548264252) is an individual internal medicine provider in Longview, Washington, licensed in Washington (MD00037318) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Baylor College Of Medicine (1996).

NPPES Registry Identity

NPI1548264252

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMR. LAN N PHAMCredential: M.D.

Location Address1615 DELAWARE STLongview, WA 98632-2367

Mailing Address1115 Se 164th Ave, Dept. 358Vancouver, WA 98683-9324 · (360) 729-1462 · Fax (360) 729-3104

Phone(360) 501-3601

Fax(360) 501-3648

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 1996

Enumeration DateJune 9, 2005

Last NPPES UpdateMarch 6, 2017

✔ NPI 1548264252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD00037318

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.

1615 DELAWARE ST, Longview, WA 98632

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Other Identifiers 6

Medicare PING8879056WA

Medicare PINGAB13158WA

Other0256048WA · Washington Dol

Medicare UPINH08797WA

Medicare UPING8947573WA

Medicaid8248452WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.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

Mr. Lan N Pham M.d. 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 ID7618033580

PECOS Enrollment IDI20090227000428

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.

Medicare Billing Reassignments

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

Peacehealth

Same address

Multi-Specialty

1615 DELAWARE ST
Longview, WA 98632

Reassigned Medicare billing, Washington enrollment
308 clinicians in this Medicare group

NPI 1720056187 (360) 414-2000

South Sound Inpatient Physicians PLLC

39 mi

Internal Medicine

400 NE MOTHER JOSEPH PL
Vancouver, WA 98664

Reassigned Medicare billing, Washington enrollment
915 clinicians in this Medicare group

NPI 1023285756 (360) 514-3727

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

Areas of Expertise CMS Part B claims 3

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.

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.

98 services93 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.

65 services65 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Ocean Beach Hospital

Critical Access Hospitals · Ilwaco, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501314

Location174 First Avenue NorthIlwaco, WA 98624 · Pacific County

Emergency services

Arbor Health Morton Hospital

Critical Access Hospitals · Morton, WA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501319

Location521 Adams StreetMorton, WA 98356 · Lewis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

CHOONG R KIM M.D.

Radiology (Radiation Oncology)