Individual provider Active NPI

Nhat-Long Lam Pham, M.D., PH.D.

  • Radiation Oncology Physician
  • Dallas, TX
National Provider Identifier
1003102617
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
Q8603 Issued in TX
Practice address
5801 Forest Park Rd
Dallas, TX 75390-9183
Phone
(241) 645-7615
Fax
(214) 645-7624
NPI assigned
Jun 22, 2011
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Q8603 TX Primary
Radiation Oncology Physician 2085R0001X A126086 CA

Addresses

Primary practice location

5801 Forest Park Rd
Dallas, TX 75390-9183

Mailing address

507 Fox GLN
Southlake, TX 76092-4318
Phone (858) 309-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160726001715 TX Practitioner - Radiation Oncology 3173816378 Reassigns benefits to 1 organization
I20190109000697 CA Practitioner - Radiation Oncology 3173816378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Iowa, RJ & L Carver College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

785 N Medical Ctr Dr W
Clovis, CA 93611-6878

789 Medical Ctr Dr E
Clovis, CA 93611-6878

805 W Acequia Ave
Suite 2D
Visalia, CA 93291-6164
Phone (559) 320-0530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A126086CAMDRadiation Oncology Physician
Q8603TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 15, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Radiation Oncology CurrentSince Aug 15, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Community Health Partners CurrentSince Dec 1, 2022 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Radiation Oncology Associates Medical Group, Inc. Dba. Oncology Care P Radiation Oncology Past Accepting new patients

Locations

785 N Medical Center Dr W
Ste 106
Clovis, CA 93611
Phone (559) 387-1600

785 N Medical Center Dr W
Ste 203
Clovis, CA 93611
Phone (559) 387-1900

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

5801 Forest Park Rd
Dallas, TX 75235
Phone (214) 645-8525

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1003102617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 FOX GLN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760924318",
            "telephone_number": "858-309-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 FOREST PARK RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909183",
            "telephone_number": "241-645-7615",
            "fax_number": "214-645-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHAT-LONG",
        "middle_name": "LAM",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "Q8603",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A126086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.