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

CLAUDIA PHEN
NPI 1760876049
Pediatrics - Pediatric Gastroenterology in Dallas, TX

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-5959 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Jan 5, 2026 (2 updates tracked since 2026).

About Claudia Phen NPPES

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

CLAUDIA PHEN (NPI 1760876049) is an individual pediatric gastroenterology provider in Dallas, Texas, licensed in Texas (R8078) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in St Petersburg, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1760876049
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameCLAUDIA PHEN
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634 · (727) 767-4106 · Fax (727) 767-8804
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2015
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1760876049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · R8078
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Secondary Practice Location 1

Location 1501 6th Ave SSt Petersburg, FL 33701-4634 · Phone (727) 898-7451

Accepted Insurance

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

Claudia Phen 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.

PECOS PAC ID7416443023
PECOS Enrollment IDI20260105000183
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.

Medicare Billing Reassignment

Medicare enrollment records show Claudia Phen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Claudia Phen's NPI number?

The NPI number for Claudia Phen is 1760876049. It was assigned to this individual provider in the NPPES registry on March 24, 2015.

Where is Claudia Phen located?

Claudia Phen practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-5959.

What is Claudia Phen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Claudia Phen enrolled in Medicare?

Yes. Claudia Phen 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 Claudia Phen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Phen reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Claudia Phen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Phen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Claudia Phen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Claudia Phen was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.