Individual provider Active NPI

Minh Nguyen Pham, MD

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1043751480
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
125.070079 Issued in IL
Practice address
251 E Huron St
Chicago, IL 60611-2908
Phone
(312) 926-2000
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1043751480 IL
Urology Physician 208800000X 125.070079 IL Primary

Addresses

Primary practice location

251 E Huron St
Chicago, IL 60611-2908

Mailing address

251 E Huron St
Chicago, IL 60611-2908

Other practice location 1

701 Doctors Dr Ste L
Kinston, NC 28501-1584
Phone (252) 527-3403

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnguyen87479@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20230823001426 NC Practitioner - Urology 9133465149 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

1112 Gracie PL
Goldsboro, NC 27534-2260
Phone (919) 735-1635

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1043751480ILMDUrology Physician
125.070079ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Aug 1, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Aug 1, 2023 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Chatham Hospital, Inc. CurrentSince Aug 16, 2023 Accepting new patients
Unc Physicians Network LLC Urology CurrentSince Aug 30, 2024 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

100 Eastowne Dr
Fl 14
Chapel Hill, NC 27514
Phone (984) 215-5556

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

1112 Gracie Pl
Goldsboro, NC 27534
Phone (919) 735-1635

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

701 Doctors Dr
Ste L
Kinston, NC 28501
Phone (252) 527-3043

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

75 Freedom Pkwy
Ste D
Pittsboro, NC 27312
Phone (984) 215-3220

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

163 Medical Park Dr
#110
Siler City, NC 27344
Phone (919) 799-4015

Interoperability endpoints

  • Direct secure messaging: mnguyen87479@direct.unc.nchie.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1043751480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Doctors Dr Ste L",
            "address_purpose": "LOCATION",
            "city": "Kinston",
            "state": "NC",
            "postal_code": "285011584",
            "country_code": "US",
            "telephone_number": "252-527-3403",
            "fax_number": "252-233-0633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MINH",
        "middle_name": "NGUYEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "1043751480",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125.070079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnguyen87479@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "701 Doctors Dr Ste L",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285011584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.