Matt Hai Pham, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11052 Issued in NV

Practice address

500 N Rainbow Blvd
Suite 300
Las Vegas, NV 89107-1082

Phone

(702) 450-1717

Fax

(702) 947-6740

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Specialty

Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah WhiGroup PAC ID 6507854049, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
• Ultimate Home Health Home health agency, Las Vegas, NV, CCN 297260

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Internal Medicine Spec of Southern NV Grossman Panikkar Ghadishah Whi

  dba Internal Medicine Specialists of Southern Nevada

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1013917640
  Medicare reassignment Care Compare group NPD
• Matthew Pham MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1912080797
  Medicare reassignment NPD
• Complete Transitional Care LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1275002347
  NPD
• Nevada Hospitalist Group LLP

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1770812877

  Internal Medicine

  NPD
• Newport Matrix LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1386081131
  NPD
• Spring Valley Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1346230323
  NPD (past)

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

• Care First Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1104014794
  Care Compare affiliation
• Ultimate Rehab Services LTD

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1144750589
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1003917055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD",
            "address_2": "SUITE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071082",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MATT",
        "middle_name": "HAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505793",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khanh Pham, PHARM. D.
• Kim-Vy Chanh Pham, DMD, PLLC
• Kirsten Pham, FNP-C
• Lynn Pham, PHARMD
• Mai Thi L Pham
• Michael T Pham, DMD
• Minh Chau Pham
• Phuong T Pham
• Quang Pham
• Quyen Manh Pham, DDS

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.