Individual provider Active NPI

Mai Thi Huynh Pham

  • Podiatrist
  • Houston, TX
National Provider Identifier
1043880800
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
T53-2021 Issued in TX
Practice address
12000 Richmond Ave Ste 370
Houston, TX 77082-2964
Phone
(281) 597-1630
Fax
(281) 531-9600
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X T53-2021 TX Primary

Addresses

Primary practice location

12000 Richmond Ave Ste 370
Houston, TX 77082-2964

Mailing address

12000 Richmond Ave Ste 370
Houston, TX 77082-2964
Phone (281) 597-1630

Other practice location 1

830 S Mason Rd Ste B5
Katy, TX 77450-3863
Phone (281) 392-0149

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240717000228 TX Practitioner - Podiatry 1850836636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Texas Limited PartnershipGroup PAC ID 6608868070, shared by 9 NPIs, 91 clinicians
Centers for Advanced Foot CareGroup PAC ID 0840180063, 3 clinicians

Practice addresses (Care Compare)

13440 University Blvd
Suite 210
Sugar Land, TX 77479-4909
Phone (281) 277-1330

830 S Mason Rd
Suite B5
Katy, TX 77450-3863
Phone (281) 392-0149

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions1-10
Removal of nail tissue35
Removal or shaving of skin growth15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T53-2021TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Foot Care PA Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Eddie Davis, DPM, PLLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
Centers for Advanced Foot Care Podiatrist CurrentSince Aug 1, 2024 Accepting new patients
Eddie Davis, DPM, PLLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients

Locations

12000 Richmond Ave
Ste 370
Houston, TX 77082
Phone (281) 497-9993

12121 Richmond Ave
Ste 415
Houston, TX 77082
Phone (281) 531-4901

830 S Mason Rd
Ste B5
Katy, TX 77450
Phone (281) 392-0149

109 Gallery Cir
Ste 119
San Antonio, TX 78258
Phone (210) 490-3668

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10915/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GEIJBA/Endpoint/GEIJBA

Organizations & group practices 4

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 1

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": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1043880800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822964",
            "telephone_number": "281-597-1630",
            "fax_number": "281-531-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 RICHMOND AVE STE 370",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822964",
            "telephone_number": "281-597-1630",
            "fax_number": "281-531-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Mason Rd Ste B5",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503863",
            "country_code": "US",
            "telephone_number": "281-392-0149",
            "fax_number": "281-392-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAI",
        "middle_name": "THI HUYNH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "T53-2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.