Trevor Phan MD PC
NPI 1033418892ActiveOrganization· Hospitalist· Fallon, NV
Hospitalist in Fallon, Nevada, registered in NPPES in March 2011. The authorized official on file is Trevor Phan, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1033418892 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2011 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 12765 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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