Individual provider Active NPI

Peter Pham, MD

  • Anesthesiology Physician
  • Altamonte Springs, FL
National Provider Identifier
1104386853
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME166357 Issued in FL
Practice address
683 Douglas Ave Ste 101
Altamonte Springs, FL 32714-2555
Phone
(407) 478-1510
Fax
(407) 478-1512
NPI assigned
Mar 20, 2019
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME166357 FL Primary

Addresses

Primary practice location

683 Douglas Ave Ste 101
Altamonte Springs, FL 32714-2555

Mailing address

683 Douglas Ave Ste 101
Altamonte Springs, FL 32714-2555
Phone (407) 478-1510

Other practice location 1

100 W Gore St Ste 500
Orlando, FL 32806-1049
Phone (407) 649-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240326001261 FL Practitioner - AnesthesiologyPractitioner - Pain Management 0345577524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

683 Douglas Ave
Suite 101
Altamonte Springs, FL 32714-2555
Phone (407) 478-1510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0071NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

683 Douglas Ave
Ste 101
Altamonte Springs, FL 32714
Phone (407) 478-1510

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

100 W Gore St
Ste 500
Orlando, FL 32806
Phone (407) 425-1556

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: peter.pham.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1104386853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 DOUGLAS AVE STE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142555",
            "telephone_number": "407-478-1510",
            "fax_number": "407-478-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 DOUGLAS AVE STE 101",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142555",
            "telephone_number": "407-478-1510",
            "fax_number": "407-478-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Gore St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061049",
            "country_code": "US",
            "telephone_number": "407-649-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME166357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.