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

Jennifer Phan, MD

Individual provider Otolaryngology Physician · NPI 1861621880

Jennifer Phan, MD is an Otolaryngology in Anderson, Indiana. Graduated from Indiana University School of Medicine in 2009, 17 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
17
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2009
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

3113 N Broadway St
Anderson, IN 46012-1261
Phone: (765) 298-4660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 11014885A (IN)

Record details

NPI number1861621880
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2009
Last updated in NPPESNovember 27, 2023
Certification dateOctober 1, 2020
Mailing address6626 E 75th St, Suite 500, Indianapolis, IN 46250-2805

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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