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Kelvin Phan , MSED, ATC, PES

Specialist/Technologist - Athletic Trainer β€’ Springfield, MA

Active NPI 1801208855 Individual Practitioner Male Practitioner
Practice location in NPPES

263 Alden St
Springfield, MA 011093707

Call 7132690120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

263 Alden St

Springfield, MA 011093707

Telephone 7132690120

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Massachusetts

65 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Springfield, MA (1,067 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 65 clinicians have the CMS telehealth indicator.

0% of these 65 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES MA 2948

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kathleen Hogan-Soltys , APRN

Nurse Practitioner - Adult Health

NPI 1447380555

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active January 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 13, 2017

Registered at 263 ALDEN ST, SPRINGFIELD, MA 011093707 (Tel: 7132690120)

πŸ“
Updated Business Mailing Address January 13, 2017

Registered at 194 LACONIA ST, SPRINGFIELD, MA 011291111

πŸ‘€
Provider Name / Credentials Updated January 13, 2017

Recorded as KELVIN PHAN, MSED, ATC, PES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2017

Specialist/Technologist (license number reported to NPPES: MA 2948)

βœ…
NPI Profile Active September 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 24, 2016

Registered at 194 LACONIA ST, SPRINGFIELD, MA 011291111 (Tel: 7132690120)

πŸ“
Business Mailing Address (Initial Record) September 24, 2016

Registered at 194 LACONIA ST, SPRINGFIELD, MA 011291111

πŸ‘€
Provider Name / Credentials (Initial Record) September 24, 2016

Recorded as KELVIN PHAN, MSED, ATC, PES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2016

Specialist/Technologist (license number reported to NPPES: MA 2948)

🟒
Initial NPI Registration & Enumeration May 27, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801208855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2014
Last Update: January 13, 2017
Sole Proprietor: Yes

Mailing Address

194 Laconia St

Springfield, MA 011291111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.