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Active NPI 1619462793 Individual Practitioner Female Practitioner

Dr. Quynh Nhu Thi Phan , DO

Pediatrics • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Quynh Nhu Phan, DO is a certified Pediatrics practicing in Bellevue, WA. With approximately 8 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 2018, Dr. Phan delivers high-quality medical care to the local community at 1940 116TH AVE NE STE 200A.

Dr. Phan does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1940 116th Ave Ne Ste 200a

Bellevue, WA 980043097

Telephone 4152094331

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bellevue, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -11.4 yrs vs City Avg
City Avg: 19.4 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
84 Specialists

Practicing in Bellevue, WA (1802 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

Clinical Seniority & Experience Comparison

Dr. Phan (8 Years) 8 Yrs
Bellevue Specialty Average (19.4 Years) 19.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA DO.OP.70042948

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.

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 22, 2025

Registered at 1940 116TH AVE NE STE 200A, BELLEVUE, WA 980043097 (Tel: 4152094331)

📍
Updated Business Mailing Address November 22, 2025

Registered at CCM MEDICINE, 710 S 340TH ST, STE B, FEDERAL WAY, WA 98003

👤
Provider Name / Credentials Updated November 22, 2025

Recorded as QUYNH NHU PHAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2025

Pediatrics (License #DO.OP.70042948 in WA)

NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2018

Registered at 92 W MILLER ST, ORLANDO, FL 328062032 (Tel: 4076496876)

📍
Updated Business Mailing Address June 29, 2018

Registered at 86 W UNDERWOOD ST STE 202, ORLANDO, FL 328061110 (Tel: 4076496876)

👤
Provider Name / Credentials Updated June 29, 2018

Recorded as QUYNH PHAN, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Student in an Organized Health Care Education/Training Program (License #OU6078 in FL)

🟢
Initial NPI Registration & Enumeration June 29, 2018

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: 1619462793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2018
Last Update: November 22, 2025
Sole Proprietor: Yes

Mailing Address

Ccm Medicine, 710 S 340th St, Ste B

Federal Way, WA 98003

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.