Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417311374 Individual Practitioner Female Practitioner

Dr. Michelle Quynh Dao Phan , MD

Pediatrics • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Phan, MD is a registered healthcare professional specializing in Pediatrics in Fairfax, VA. Practice services are available at 13135 ROUTE 50 STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13135 Route 50 Ste 201

Fairfax, VA 220331907

Telephone 7033910900
Fax 7033912919
Associated Practice Facility / Clinic
🏢 Trusted Doctors Llc Facility NPI 1083793525

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
69 Specialists

Practicing in Fairfax, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101275186

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA MD468228

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA A163063

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License OH 35.136445

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 036.150664

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

845 W Wilson Ave

Chicago, IL 606408090

Phone: 7735064283

Practice Associates & Co-Workers

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

26 Associated Practitioners
NPI 1033112867

Doctor of Medicine (M.D.)

NPI 1073516803

Doctor of Medicine (M.D.)

Elizabeth Rellis , CPNP

Nurse Practitioner - Pediatrics

NPI 1124212147

Certified Pediatric Nurse Practitioner

Patricia Mcdade , CPNP

Nurse Practitioner - Pediatrics

NPI 1154578466

Certified Pediatric Nurse Practitioner

NPI 1154740140
NPI 1184627903

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 29, 2025

Registered at 13135 ROUTE 50 STE 201, FAIRFAX, VA 220331907 (Tel: 7033910900)

📍
Updated Business Mailing Address August 29, 2025

Registered at 13135 ROUTE 50 STE 201, FAIRFAX, VA 220331907 (Tel: 7033910900)

📍
Updated Practice Location December 08, 2019

Registered at 845 W WILSON AVE, CHICAGO, IL 606408090 (Tel: 7735064283)

📍
Updated Business Mailing Address December 08, 2019

Registered at 3048 N WILTON AVE STE 2, CHICAGO, IL 606576710 (Tel: 7735064283)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2019

Pediatrics (License #MD468228 in PA)

NPI Profile Active April 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2016

Registered at 3333 BURNET AVENUE, MLC 5018, CINCINNATI, OH 452293039 (Tel: 5136364315)

📍
Updated Business Mailing Address April 07, 2016

Registered at 3333 BURNET AVENUE, MLC5018, CINCINNATI, OH 452293039 (Tel: 5136364315)

👤
Provider Name / Credentials Updated April 07, 2016

Recorded as MICHELLE PHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2016

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: 1417311374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2016
Last Update: August 29, 2025
Sole Proprietor: No

Mailing Address

13135 Route 50 Ste 201

Fairfax, VA 220331907

Phone: 7033910900

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.