MANSFIELD MEDICAL ASSOCIATES
NPI 1710006556
Internal Medicine in Mansfield, TX
About Mansfield Medical Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANSFIELD MEDICAL ASSOCIATES (NPI 1710006556) is a healthcare organization registered as an internal medicine in Mansfield, Texas and active in the NPI registry since March 2007. The organization lists Khuong Phan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Mansfield Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Mansfield Medical Associates, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Dallas, TX 75237
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Khuong Phan, D.O., P.A.'s NPI number?
The NPI number for Khuong Phan, D.O., P.A. is 1710006556. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is doing business as Mansfield Medical Associates.
Where is Khuong Phan, D.O., P.A. located?
Khuong Phan, D.O., P.A. is located at 920 Highway 287 N Suite 308, Mansfield, TX 76063. The listed phone number is (817) 473-7197.
What is Khuong Phan, D.O., P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Khuong Phan, D.O., P.A. enrolled in Medicare?
Yes. Khuong Phan, D.O., P.A. is registered in the Medicare PECOS enrollment system.
When is Khuong Phan, D.O., P.A.'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 (Texas, Clinic/Group Practice) is due for revalidation by March 31, 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 Khuong Phan, D.O., P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Khuong Phan, D.O., P.A.. 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. The largest specialties are Nurse Practitioner (7) and Internal Medicine (3). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Khuong Phan, D.O., P.A. was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mansfield Medical Associates · NPI 1710006556
Internal Medicine organization in Mansfield, Texas. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1710006556 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Khuong Phan, D.o., P.a.
- **Organization subpart:** No
- **Authorized official:** Khuong Phan, OWNER
## Practice location
- **Address:** 920 HIGHWAY 287 N, SUITE 308, Mansfield, TX 76063-2627
- **Phone:** (817) 473-7197 · **Fax:** (817) 473-7197
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Internal Medicine (3); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2008
- **Other identifiers:** Medicare UPIN I39935
---
Source: [NPI Profile](https://npiprofile.com/npi/1710006556) · Data from the CMS NPPES public registry.