DEREK Q PHAN MD
NPI 1598184244
Internal Medicine - Cardiovascular Disease in Temescal Valley, CA

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment
21634 RETREAT PKWY, TEMESCAL VALLEY, CA 92883(951) 493-6650 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2023, May 9, 2023, Apr 11, 2023 and 5 more (8 updates tracked since 2018).

About Derek Q Phan Md NPPES

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

DEREK Q PHAN MD (NPI 1598184244) is an individual cardiovascular disease provider in Temescal Valley, California, licensed in Wisconsin (100522) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1598184244
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDEREK Q PHANCredential: MD
Location Address21634 RETREAT PKWYTemescal Valley, CA 92883-6100
Mailing Address10798 Jurupa Rd, Po Box 136Jurupa Valley, CA 91752 · (213) 569-1450
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2014
Last NPPES UpdateJuly 31, 20238 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
NPI 1598184244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in WI · 100522 Licensed in KS · 0447579 Licensed in CA · A138554
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD61123756 (WA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 100522 (WI), MD61123756 (WA), 0447579 (KS), A138554 (CA)
21634 RETREAT PKWY, Temescal Valley, CA 92883

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Derek Q Phan Md 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 ID1355612136
PECOS Enrollment IDI20180316001855
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.

Areas of Expertise CMS Part B claims 2

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
14 services14 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92883 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Surgery
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Family Medicine
21634 RETREAT PKWY
CORONA, CA 92883
Obstetrics & Gynecology
21634 RETREAT PKWY
CORONA, CA 92883
Internal Medicine
21634 RETREAT PKWY
CORONA, CA 92883

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 Derek Phan's NPI number?

The NPI number for Derek Phan is 1598184244. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Derek Phan located?

Derek Phan practices at 21634 Retreat Pkwy, Temescal Valley, CA 92883. The listed phone number is (951) 493-6650.

What is Derek Phan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Derek Phan enrolled in Medicare?

Yes. Derek Phan 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.

When was this NPI record last updated?

The NPPES record for Derek Phan was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.