Active NPI
Hien Pham, MD
- Nephrology Physician
- Kent, WA
National Provider Identifier
1093829632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD60023078
- Practice address
- 24920 104TH Ave SE
Kent, WA 98030-6443 - Phone
- (425) 395-1944
- NPI assigned
- Aug 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD60023078 | WA | Primary |
| Internal Medicine Physician | 207R00000X | MD60023078 | WA |
Addresses
Primary practice location
24920 104TH Ave SE
Kent, WA 98030-6443
Mailing address
PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Washington School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24920 104TH Ave SE
Kent, WA 98030-6443
Phone (253) 395-2000
Hospital & facility affiliations
- NKC Renton Kidney Center
- NKC Kent Kidney Center
- NKC Federal Way East Kidney Center
- NKC Panther Lake Kidney Center
- NKC Seatac Kidney Center
- Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60023078 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Medical Group-Renton | Internal Medicine | Current | Accepting new patients |
| Public Hospital District #1 of King County | Past | Accepting new patients |
Locations
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
24920 104th Ave SE
Kent, WA 98030
Phone (253) 395-1985
3600 Lind Ave SW
Ste 100
Renton, WA 98057
Interoperability endpoints
- hpham48507@direct.valleymed.org
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.
-
- Rehabilitation Hospital Unit
- Renton, WA
- NPI 1811063308
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Federal Way, WA
- NPI 1083132799
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kent, WA
- NPI 1164675112
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seatac, WA
- NPI 1205921616
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kent, WA
- NPI 1588378533
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Renton, WA
- NPI 1922193564
Dialysis facility
-
- General Acute Care Hospital
- Renton, WA
- NPI 1649209230
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1093829632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34876",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241876",
"telephone_number": "425-656-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24920 104TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980306443",
"telephone_number": "425-395-1944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HIEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD60023078",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60023078",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.