Active NPI
Thy Pham, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10426
- Practice address
- 221 W. Colorado Blvd
Pavilion II Suite 933
Dallas, TX 75208-6800 - Phone
- (214) 947-3684
- Fax
- (214) 947-3686
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10426 | TX | Primary |
Addresses
Primary practice location
221 W. Colorado Blvd
Pavilion II Suite 933
Dallas, TX 75208-6800
Mailing address
221 W. Colorado Blvd
Pavilion II Suite 933
Dallas, TX 75208-6800
Phone (214) 947-3684
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 833-3478
3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Past | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 431
Dallas, TX 75208
Phone (214) 943-1171
221 W Colorado Blvd
Ste 933
Dallas, TX 75208
Phone (214) 941-7200
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
Interoperability endpoints
- tpham152760@dm.mhd.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1063868420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W. COLORADO BLVD",
"address_2": "PAVILION II SUITE 933",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086800",
"telephone_number": "214-947-3684",
"fax_number": "214-947-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W. COLORADO BLVD",
"address_2": "PAVILION II SUITE 933",
"city": "DALLAS",
"state": "TX",
"postal_code": "752086800",
"telephone_number": "214-947-3684",
"fax_number": "214-947-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2025-05-02",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.