Individual provider Active NPI

Ellen Pham, MD

  • Obstetrics & Gynecology Physician
  • Abington, PA
National Provider Identifier
1124648530
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD489575 Issued in PA
Practice address
1200 Old York Rd
Abington, PA 19001-3720
Phone
(215) 481-4212
NPI assigned
Apr 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X MD489575 PA Primary

Addresses

Primary practice location

1200 Old York Rd
Abington, PA 19001-3720

Mailing address

4500 Parsons Blvd
Flushing, NY 11355-2205

Other practice location 1

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5000

Other practice location 2

270-05 76th Avenue
Research building C Level Room 039AB N
New Hyde Park, NY 11040
Phone (718) 470-4475

Other identifiers 1

IdentifierTypeStateIssuer
111631781OtherFLUSHING MEDICAL CENTER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Flushing

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250903003754 PA Practitioner - Obstetrics/Gynecology 1254833932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4212

Hospital & facility affiliations

  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Abington Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

1245 Highland Ave
Ste 505
Abington, PA 19001
Phone (215) 443-0660

1245 Highland Ave
Ste G01
Abington, PA 19001
Phone (215) 366-1160

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 306
Abington, PA 19001
Phone (215) 481-9495

721 Arbor Way
Ste 106
Blue Bell, PA 19422
Phone (215) 366-1160

1811 Bethlehem Pike
Ste A110
Flourtown, PA 19031
Phone (215) 366-1160

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

118 Welsh Rd
Unit A
Horsham, PA 19044
Phone (215) 657-5200

2301 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 481-4932

240 Middletown Blvd
Ste 101B
Langhorne, PA 19047
Phone (215) 757-5737

125 Medical Campus Dr
Ste 200
Lansdale, PA 19446
Phone (215) 361-4980

11 Friends Ln
Ste 101
Newtown, PA 18940
Phone (215) 579-1300

3998 Red Lion Rd
Ste 106
Philadelphia, PA 19114
Phone (215) 612-4143

7996 Oxford Ave
Philadelphia, PA 19111
Phone (215) 725-1411

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

1045 Bustleton Pike
Trevose, PA 19053
Phone (215) 364-2158

1380 Easton Rd
Warrington, PA 18976
Phone (215) 491-5057

2729 Blair Mill Rd
Ste C
Willow Grove, PA 19090
Phone (215) 443-0660

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 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": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1124648530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-4212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552205",
            "country_code": "US",
            "telephone_number": "718-670-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270-05 76th Avenue",
            "address_2": "Research building C Level Room 039AB N",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "718-470-4475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD489575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLUSHING MEDICAL CENTER",
            "identifier": "111631781",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Flushing",
            "affiliation": "N",
            "address_1": "4500 Parsons Blvd",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113552205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.