PHILLIP LOAN MD
NPI 1720974884
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since June 16, 2025PECOS Enrolled
1415 TULANE AVE, NEW ORLEANS, LA 70112(504) 988-5263 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Jun 16, 2025 (2 updates tracked since 2025).

About Phillip Loan Md NPPES

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

PHILLIP LOAN MD (NPI 1720974884) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720974884
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILLIP LOANCredential: MD
Location Address1415 TULANE AVENew Orleans, LA 70112-2600
Mailing Address2905 School Side WayLawrenceville, GA 30044-7860
Sole ProprietorNo
Enumeration DateJune 16, 2025
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1720974884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1415 TULANE AVE, New Orleans, LA 70112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Phillip Loan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Pediatrics (Pediatric Infectious Diseases)
1415 TULANE AVE
NEW ORLEANS, LA 70112
Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Rehabilitation Unit
1415 TULANE AVE
NEW ORLEANS, LA 70112
Orthopaedic Surgery
1415 TULANE AVE
NEW ORLEANS, LA 70112
Registered Nurse
1415 TULANE AVE
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
1415 TULANE AVE
NEW ORLEANS, LA 70112
Family Medicine
1415 TULANE AVE
NEW ORLEANS, LA 70112
General Acute Care Hospital
1415 TULANE AVE
NEW ORLEANS, LA 70112

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 Phillip Loan's NPI number?

The NPI number for Phillip Loan is 1720974884. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Phillip Loan located?

Phillip Loan practices at 1415 Tulane Ave, New Orleans, LA 70112. The listed phone number is (504) 988-5263.

What is Phillip Loan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Loan enrolled in Medicare?

Yes. Phillip Loan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Loan was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.