Tin Phan
NPI 1134803059 · Physician Assistant · Longmeadow, MA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tin Phan is a Physician Assistant provider in Longmeadow, MA (NPI 1134803059).
Provider details
- NPI number
- 1134803059
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PA101877 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 780 Albany StBoston, MA 02118-2755Phone: (857) 654-1000Fax: (857) 654-1100
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Tin Phan's NPI number?
- Tin Phan's National Provider Identifier (NPI) is 1134803059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tin Phan's specialty?
- Tin Phan is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tin Phan located?
- Tin Phan's practice location on file with NPPES is 588 Longmeadow St, Longmeadow, MA 01106-2212.
- What is Tin Phan's phone number?
- The practice phone number listed in the NPPES registry for Tin Phan is (413) 565-1000.
- Does Tin Phan accept Medicare?
- Tin Phan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tin Phan's NPI active?
- Yes — Tin Phan's NPI (1134803059) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.