Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Quynh Nhu Phan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Quynh Nhu Phan was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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 29, 2018PECOS Enrolled

1940 116TH AVE NE STE 200A, BELLEVUE, WA 98004(415) 209-4331 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Nov 22, 2025, Jun 11, 2019 and 1 more (4 updates tracked since 2018).

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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 · (425) 209-4331 · Fax (206) 899-1299

Phone(415) 209-4331

Sole ProprietorYes

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018

Enumeration DateJune 29, 2018

Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ 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 September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.