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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326786070

Jenson Pan Phung, MD is an Internal Medicine in Minneapolis, Minnesota. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2022, 4 years ago. Practices with Fairview Health Services, a 678-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
In the registry since
2022
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

420 Delaware Street SE Mmc 284
Minneapolis, MN 55455-0341
Phone: (612) 626-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1326786070
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 6, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2022 (4 years in practice)
Group practice Fairview Health Services — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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