DR. PHILLIP PAN MD
NPI 1972525202
Pediatrics - Neonatal-Perinatal Medicine in Niskayuna, NY
About Dr. Phillip Pan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILLIP PAN MD (NPI 1972525202) is an individual neonatal-perinatal medicine provider in Niskayuna, New York, licensed in New York (233754) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Dr. Phillip Pan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Phillip Pan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12205
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: St Peters Hospital Of The City Of Albany
- 623 clinicians in this Medicare group
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NISKAYUNA, NY 12309
NISKAYUNA, NY 12309
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 Pan's NPI number?
The NPI number for Phillip Pan is 1972525202. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Phillip Pan located?
Phillip Pan practices at 2210 Troy Rd, Niskayuna, NY 12309. The listed phone number is (518) 346-9535.
What is Phillip Pan's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.
Is Phillip Pan enrolled in Medicare?
Yes. Phillip Pan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Phillip Pan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Pan reassigns Medicare benefits to 2 organizations: St Peters Hospital (Albany, NY) and Albany Medical College (Albany, NY). Each 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 Phillip Pan'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 Phillip Pan was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Phillip Pan, MD · NPI 1972525202
Neonatal-Perinatal Medicine physician in Niskayuna, New York. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1972525202 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** 233754 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2210 TROY RD, Niskayuna, NY 12309-4725
- **Phone:** (518) 346-9535
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Peters Hospital (NPI 1437225828, Albany, NY); Albany Medical College (NPI 1497921688, Albany, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1972525202) · Data from the CMS NPPES public registry.