Timmy Minh-Tien Pham, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2124 Issued in TX

Practice address

601 Medical Pkwy Ste a
Brenham, TX 77833-5430

Phone

(979) 836-1111

Fax

(979) 836-3600

NPI assigned

Jun 19, 2012

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minivasive Pain Specialists,PLLCGroup PAC ID 7113278896, 29 clinicians

David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266
• Columbus Community Hospital Hospital, Columbus, TX, CCN 450370

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timmy.pham.1@19704.direct.athenahealth.com
• Direct secure messaging: timmy.pham@10229.chartlogic.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• David P Ellent PLLC

  • Hematology & Oncology Physician
  • Spring, TX
  • NPI 1245777440
  Medicare reassignment Care Compare group NPD
• Minivasive Pain Specialists,PLLC

  • Interventional Pain Medicine Physician
  • Spring, TX
  • NPI 1477099851
  Medicare reassignment Care Compare group NPD
• T&T Foot & Ankle Specialists, PA

  • Foot & Ankle Surgery Podiatrist
  • Brenham, TX
  • NPI 1255790465
  Medicare reassignment NPD Authorized official
• Creekside Premier Medical Group PLLC

  • Hematology & Oncology Physician
  • Tomball, TX
  • NPI 1487217006

  Foot & Ankle Surgery

  NPD
• David P Ellent PLLC

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD
• H R Andersen and Associates

  • Foot & Ankle Surgery Podiatrist
  • Brenham, TX
  • NPI 1336322981
  NPD (past)
• Houston Kidney Specialists Center PLLC

  • Nephrology Physician
  • Houston, TX
  • NPI 1396217162
  NPD (past)

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

• Columbus Community Hospital

  • Rural Acute Care Hospital
  • Columbus, TX
  • NPI 1740238641
  Care Compare affiliation
• Townsen Memorial Health System LLC

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1376870840
  Care Compare affiliation

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043573645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY STE A",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335430",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY STE A",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335430",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Highway 71 S",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343011",
            "country_code": "US",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Graham Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tomball",
            "state": "TX",
            "postal_code": "773753322",
            "country_code": "US",
            "telephone_number": "281-324-0444",
            "fax_number": "979-836-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TIMMY",
        "middle_name": "MINH-TIEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349578001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny R Peoples, CRNA
• Performance Health and Wellness
• Performance Health and Wellness PLLC
• Gabriel Joseph Peterek
• Thomas Minh-Ngoc Pham, DPM
• Lori Ann Pittman, P.T.
• James Potvin, COTA
• Lisa Kay Powell-Watts, LPC, LCDC, LMFT
• Katherine Denise Powers, PT
• Christina Prendergast, D.O.

• Foot & Ankle Surgery Podiatrist in Brenham, TX
• Providers in Brenham, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.