NPIMap

Individual provider Active NPI

Khoi Duy Pham, MD

  • Neurological Surgery Physician
  • Englewood, CO
National Provider Identifier
1083632731
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
32107 Issued in CO
Practice address
501 E Hampden Ave
Englewood, CO 80113-2702
Phone
(303) 788-6911
Fax
(303) 306-7753
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 32101 CO
Neurological Surgery Physician 207T00000X 32107 CO Primary

Addresses

Primary practice location

501 E Hampden Ave
Englewood, CO 80113-2702

Mailing address

PO Box 17326
Denver, CO 80217-0326
Phone (303) 306-7783

Other practice location 1

9399 Crown Crest Blvd
Ste 422
Parker, CO 80138-8506
Phone (303) 840-7976

Other practice location 2

9399 Crown Crest Blvd
Ste 422
Parker, CO 80138-8506
Phone (303) 840-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120109000103 CO Practitioner - Neurology 4082880323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Virginia Commonwealth University, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology of the Rockies LLCGroup PAC ID 7315962008, 11 clinicians

Practice addresses (Care Compare)

9235 Crown Crest Blvd
Suite 200
Parker, CO 80138-8881
Phone (303) 840-5051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32107COMDNeurological Surgery Physician
32101COMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology of the Rockies, LLC Neurology CurrentSince Aug 1, 2021 Accepting new patients
Neurology of the Rockies, LLC Neurology CurrentSince Aug 1, 2021 Accepting new patients
Neurology of the Rockies, LLC Neurology Past Accepting new patients

Locations

4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636

950 E Harvard Ave
Ste 570
Denver, CO 80210
Phone (303) 715-9024

125 Inverness Dr E
Ste 330
Englewood, CO 80112
Phone (303) 799-1443

9235 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-5051

Organizations & group practices 3

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 8

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083632731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17326",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802170326",
            "telephone_number": "303-306-7783",
            "fax_number": "303-306-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HAMPDEN AVE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132702",
            "telephone_number": "303-788-6911",
            "fax_number": "303-306-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9399 Crown Crest Blvd",
            "address_2": "Ste 422",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388506",
            "country_code": "US",
            "telephone_number": "303-840-7976",
            "fax_number": "303-840-0942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9399 Crown Crest Blvd",
            "address_2": "Ste 422",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801388506",
            "country_code": "US",
            "telephone_number": "303-840-7976",
            "fax_number": "303-840-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KHOI",
        "middle_name": "DUY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "32101",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "32107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.