SHESHANNA NGUYEN PHUONG KHANH PHAN DO
NPI 1750086955
Dermatology in Albuquerque, NM
About Sheshanna Nguyen Phuong Khanh Phan Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHESHANNA NGUYEN PHUONG KHANH PHAN DO (NPI 1750086955) is an individual dermatology provider in Albuquerque, New Mexico, licensed in New Mexico (DO2026-0085) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sheshanna Nguyen Phuong Khanh Phan Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Sheshanna Phan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87111
- Reassigned Medicare billing, New Mexico enrollment
- 32 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
ALBUQUERQUE, NM 87131
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 Sheshanna Phan's NPI number?
The NPI number for Sheshanna Phan is 1750086955. It was assigned to this individual provider in the NPPES registry on April 5, 2023.
Where is Sheshanna Phan located?
Sheshanna Phan practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.
What is Sheshanna Phan's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Sheshanna Phan enrolled in Medicare?
Yes. Sheshanna 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.
Which organization bills Medicare for Sheshanna Phan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheshanna Phan reassigns Medicare benefits to Epiphany Dermatology Of New Mexico, LLC (Albuquerque, NM). The 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 Sheshanna Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sheshanna Phan was last updated on July 29, 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.
# Sheshanna Nguyen Phuong Khanh Phan, DO · NPI 1750086955
Dermatology physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1750086955 (Entity type: Individual)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** DO2026-0085 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131-0001
- **Phone:** (505) 272-4661 · **Fax:** (505) 272-0475
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Epiphany Dermatology Of New Mexico, LLC (NPI 1447615760, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2023
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750086955) · Data from the CMS NPPES public registry.