Individual provider Active NPI

Lan Phuong Pham, M.D.

  • Ophthalmology Physician
  • Yorktown Heights, NY
National Provider Identifier
1104854983
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
207363 Issued in NY
Practice address
1825 Commerce St
Yorktown Heights, NY 10598-4432
Phone
(914) 772-9983
Fax
(845) 251-4136
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 207363 NY Primary

Addresses

Primary practice location

1825 Commerce St
Yorktown Heights, NY 10598-4432

Mailing address

16 Nottingham Way
Mahopac, NY 10541-3774
Phone (914) 484-1518

Other identifiers 2

IdentifierTypeStateIssuer
02235023MedicaidNY
A400104767OtherNYMEDICARE PTAN

Other names 1

  • Dr. Lan Pham Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070312000428 NY Practitioner - Ophthalmology 9638188261 Reassigns benefits to 1 organization
Practice locations: Mount Kisco, NY

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

103 S Bedford Rd
Mount Kisco, NY 10549-3440
Phone (914) 241-2020

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1200

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as individual
Quality
80.62
Improvement activities
40
Cost
70.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207363NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lan V Pham MD PC Ophthalmology CurrentSince Nov 17, 2013 Accepting new patients
Surgical Specialty Center of Westchester LLC CurrentSince Oct 28, 2013 Accepting new patients
Mahopac Eyewear Inc. Past Accepting new patients
Bonnie S. Silverman, M.D. P.C. Ophthalmology Past Accepting new patients
Bonnie S Silverman MD PC Ophthalmology Past Accepting new patients
Eye Surgery Associates LLC Ophthalmology Past Accepting new patients

Locations

572 Route 6
Mahopac, NY 10541
Phone (845) 519-2295

34 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 244-6787

103 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 241-2020

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

1825 Commerce St
Yorktown Hts, NY 10598
Phone (914) 242-2930

Interoperability endpoints

  • Direct secure messaging: lpham65745@northwell.direct-ci.com

Organizations & group practices 6

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 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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1104854983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NOTTINGHAM WAY",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105413774",
            "telephone_number": "914-484-1518",
            "fax_number": "845-251-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 COMMERCE ST",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984432",
            "telephone_number": "914-772-9983",
            "fax_number": "845-251-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LAN PHUONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "207363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02235023",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400104767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "PHAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.