Jack Phan, M.D., PH.D.
Jack Phan, M.D., PH.D. is a Therapeutic Radiology Physician in Houston, TX, registered under NPI 1205150893. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 1515 HOLCOMBE BLVD, Houston, TX 77030. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| N1835 | TX | Therapeutic Radiology Physician primary |
This provider holds licence N1835 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Radiation Oncology
- PAC ID
- 4688845274
Medicare enrolment is recorded as approved under the provider type Practitioner - Radiation Oncology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Therapeutic Radiology covers
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology. NUCC Health Care Provider Taxonomy, code 2085R0203X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1205150893 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 25, 2010 |
| Last updated | Oct 3, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D., PH.D. |
| Practice address |
1515 HOLCOMBE BLVD Houston, TX 77030 (713) 792-6161 |
| Mailing address |
PO BOX 4439 Houston, TX 77210 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 1 | 5 | 0 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 2 | 5 | 0 | 8 | 9 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.