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Active NPI 1134803059 Individual Practitioner Male Practitioner

Tin Viet Phan

Physician Assistant • Longmeadow, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tin Phan is a certified Physician Assistant practicing in Longmeadow, MA. With approximately 1 years of clinical experience since completing medical education in 2025, Tin Phan delivers high-quality medical care to the local community at 588 LONGMEADOW ST.

Tin Phan is affiliated with Le And Chang Family Urgent Care Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

588 Longmeadow St

Longmeadow, MA 011062212

Telephone 4135651000

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longmeadow, MA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -2.2 yrs vs City Avg
City Avg: 3.2 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Longmeadow, MA (4746 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Phan (1 Years) 1 Yrs
Longmeadow Specialty Average (3.2 Years) 3.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-04-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA101877

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Le And Chang Family Urgent Care Pc

456 Park Ave, Worcester, MA 016101227

Le And Chang Family Urgent Care Pc

456 Park Ave, Worcester, MA 016101254

Phone: 5087965661

Le And Chang Family Urgent Care Pc

456 Park Ave, Worcester, MA 016101227

Secondary Practice Locations

780 Albany St

Boston, MA 021182755

Phone: 8576541000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maia Boni

Student in an Organized Health Care Education/Training Program

NPI 1003549312
Nadya Fitsum

Student in an Organized Health Care Education/Training Program

NPI 1013758002
Kruti Patel

Student in an Organized Health Care Education/Training Program

NPI 1023859014
Sheida Karamnejad

Student in an Organized Health Care Education/Training Program

NPI 1033002456
Katherine Desjardins

Student in an Organized Health Care Education/Training Program

NPI 1043051139
Sara Brindzak

Student in an Organized Health Care Education/Training Program

NPI 1043103468

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Physician Assistant (License #PA101877 in MA)

NPI Profile Active June 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2023

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062212 (Tel: 4135651000)

📍
Updated Business Mailing Address June 12, 2023

Registered at 588 LONGMEADOW ST, LONGMEADOW, MA 011062212

👤
Provider Name / Credentials Updated June 12, 2023

Recorded as TIN PHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134803059
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2023
Last Update: April 08, 2026
Sole Proprietor: No

Mailing Address

588 Longmeadow St

Longmeadow, MA 011062212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.