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

AUDREY MARIETTA PHAN MD
NPI 1922740356
Obstetrics & Gynecology in Richardson, TX

Active since April 07, 2022PECOS Enrolled
3201 E PRESIDENT GEORGE BUSH HWY STE 107, RICHARDSON, TX 75082(972) 276-9902 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Apr 7, 2022 (2 updates tracked since 2022).

About Audrey Marietta Phan Md NPPES

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

AUDREY MARIETTA PHAN MD (NPI 1922740356) is an individual obstetrics & gynecology provider in Richardson, Texas, licensed in Texas (W7753) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1922740356
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAUDREY MARIETTA PHANCredential: MD
Location Address3201 E PRESIDENT GEORGE BUSH HWY STE 107Richardson, TX 75082-3565
Mailing Address839 S Good Latimer Expy Apt 2386Dallas, TX 75226-1848 · (847) 840-8790
Phone(972) 276-9902
Sole ProprietorYes
Enumeration DateApril 7, 2022
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1922740356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · W7753
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3201 E PRESIDENT GEORGE BUSH HWY STE 107, Richardson, TX 75082
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Secondary Practice Location 1

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (214) 947-6700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Marietta Phan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75082 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOWARD G DIAMOND MD
Physical Medicine & Rehabilitation
3201 E PRESIDENT GEORGE BUSH HWY STE 107
RICHARDSON, TX 75082
Dallas County (214) 530-8400
SHEFALI PAPPU M.D.
Obstetrics & Gynecology
3201 E PRESIDENT GEORGE BUSH HWY STE 107
RICHARDSON, TX 75082
Dallas County (972) 276-9902

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 Audrey Phan's NPI number?

The NPI number for Audrey Phan is 1922740356. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Audrey Phan located?

Audrey Phan practices at 3201 E President George Bush Hwy Ste 107, Richardson, TX 75082. The listed phone number is (972) 276-9902.

What is Audrey Phan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Audrey Phan enrolled in Medicare?

Yes. Audrey Phan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Phan was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.