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QUYNH NHU THI PHAN DO
NPI 1619462793
Pediatrics in Bellevue, WA

Active since June 29, 2018PECOS Enrolled
1940 116TH AVE NE STE 200A, BELLEVUE, WA 98004(415) 209-4331 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 22, 2025, Jun 11, 2019, Jun 29, 2018 (3 updates tracked since 2018).

About Quynh Nhu Thi Phan Do NPPES

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

QUYNH NHU THI PHAN DO (NPI 1619462793) is an individual pediatrics provider in Bellevue, Washington, licensed in Washington (DO.OP.70042948) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2018).

NPPES Registry Identity

NPI1619462793
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameQUYNH NHU THI PHANCredential: DO
Location Address1940 116TH AVE NE STE 200ABellevue, WA 98004-3097
Mailing AddressCcm Medicine, 710 S 340th St, Ste BFederal Way, WA 98003
Phone(415) 209-4331
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateNovember 22, 20253 updates tracked since enumeration
NPPES CertifiedNovember 22, 2025
✔ NPI 1619462793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · DO.OP.70042948
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1940 116TH AVE NE STE 200A, Bellevue, WA 98004
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quynh Nhu Thi Phan Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941788426
PECOS Enrollment IDI20260128000603
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 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Quynh Nhu Phan's NPI number?

The NPI number for Quynh Nhu Phan is 1619462793. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Quynh Nhu Phan located?

Quynh Nhu Phan practices at 1940 116th Ave NE Ste 200A, Bellevue, WA 98004. The listed phone number is (415) 209-4331.

What is Quynh Nhu Phan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Quynh Nhu Phan enrolled in Medicare?

Yes. Quynh Nhu Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Quynh Nhu Phan was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.