Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ian Pan, MD

Individual provider Diagnostic Radiology Physician · NPI 1073140786

Ian Pan, MD practises Diagnostic Radiology in Dallas, Texas. Graduated from Warren Alpert Medical School of Brown University in 2020, 6 years ago. Practices with Pacific Radiology Group Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Connecticut, Illinois, Massachusetts and Michigan and 1 more.

Years since qualifying
6
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CT, IL, MA, MI, NC
In the registry since
2020
Specialties on file
6
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

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone: (510) 683-9500
Fax: (877) 880-2039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1024505 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 86020 (CT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301518665 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036.177005 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2025-02936 (NC)

Record details

NPI number1073140786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESSeptember 9, 2026
Certification dateSeptember 9, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Pacific Radiology Group Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Colleagues at Pacific Radiology Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 30 clinicians in the practice; 12 are shown here.

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