Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Peter Phan, MD

Individual provider Surgery Physician · NPI 1851564462

Dr. Peter Phan, MD is a General Surgery in Liberal, Kansas. Graduated from Loma Linda University School of Medicine in 2005, 21 years ago. Practices with Southwest Medical Center, a 62-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
21
Trained at
Loma Linda University School of Medicine
Licensed in
KS
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W 15th St Ste 204
Liberal, KS 67901-2455
Phone: (620) 624-4946
Fax: (620) 624-2260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0438080 (KS)

Record details

NPI number1851564462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2008
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address305 W 15th St Ste 204, Liberal, KS 67901-2455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Southwest Medical Center — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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