Individual provider Active NPI

Henry Thanh Pham, M.D.

  • Urology Physician
  • Sugar Land, TX
National Provider Identifier
1144222647
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
K2366 Issued in TX
Practice address
16659 Southwest Fwy
Suite 141
Sugar Land, TX 77479-2375
Phone
(281) 494-8333
Fax
(281) 494-8334
NPI assigned
Aug 15, 2005
Reactivated
Apr 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X K2366 TX Primary

Addresses

Primary practice location

16659 Southwest Fwy
Suite 141
Sugar Land, TX 77479-2375

Mailing address

16659 Southwest Fwy
Suite 141
Sugar Land, TX 77479-2375
Phone (281) 494-8333

Other identifiers 3

IdentifierTypeStateIssuer
029906701MedicaidTX
5508471OtherTXAETNA
0025BEOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040219001038 TX Practitioner - Urology 8820983539 Practice locations: Sugarland, TX

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16659 Southwest Fwy
Suite 141
Sugar Land, TX 77479-2351
Phone (281) 494-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K2366TXMDUrology Physician

Interoperability endpoints

  • Direct secure messaging: hpham@fortb.curemd.direct-ci.com
  • Direct secure messaging: hpham26171@directhoustonmethodist.org

Hospital & facility affiliations 3

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1144222647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 141",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-494-8333",
            "fax_number": "281-494-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 141",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "281-494-8333",
            "fax_number": "281-494-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HENRY",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-08-29",
        "deactivation_date": "2006-04-06",
        "reactivation_date": "2006-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "K2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029906701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5508471",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0025BE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.