Individual provider Active NPI

Michael Pham, DO

  • Internal Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1194258996
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
U3324 Issued in TX
Practice address
7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone
(361) 761-1200
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67327 CT
Internal Medicine Physician 207R00000X 87895 GA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X U3324 TX Primary

Addresses

Primary practice location

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913

Mailing address

2213 S Braeswood Blvd Apt 12G
Houston, TX 77030-4377
Phone (713) 679-0121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT, CO, TX, NY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220504001158 GA Practitioner - Internal MedicinePractitioner - General Practice 2466855911 Reassigns benefits to 3 organizations
I20230428000525 CT Practitioner - Internal Medicine 2466855911 Reassigns benefits to 1 organization
I20240913001415 CO Practitioner - Internal Medicine 2466855911 Reassigns benefits to 1 organization
I20250226000063 TX Practitioner - Internal MedicinePractitioner - General Surgery 2466855911 Reassigns benefits to 2 organizations
I20250925001885 NY Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - General Practice 2466855911 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice, General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skilled Biologics IncGroup PAC ID 4880132760, 25 clinicians
Cognacare Neurologic IncGroup PAC ID 4981125531, 17 clinicians

Practice addresses (Care Compare)

Bronx, NY 10465
Phone (310) 445-5999

Peachtree Corners, GA 30092
Phone (310) 445-5999

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (818) 265-2245

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1382
Removal of skin lesions97
Removal of nail tissue17
Removal or shaving of skin growth78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2727MNMDOptometrist
330112NYMDLicensed Practical Nurse
67327CTMDInternal Medicine Physician
19208CAMDMedical Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc Multi-Specialty CurrentSince Feb 1, 2025 Accepting new patients
Skilled Biologics, Inc. Multi-Specialty CurrentSince Dec 8, 2025 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

2 Sun Ct
Ste 400
Peachtree Corners, GA 30092
Phone (615) 721-7020

2000 Riveredge Pkwy
Ste 885
Sandy Springs, GA 30328
Phone (678) 382-3187

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

914 Brazosport Blvd N
Richwood, TX 77531
Phone (979) 230-0407

3950 Underwood Rd
Shoreacres, TX 77571
Phone (210) 951-1900

615 Lawrence St
Tomball, TX 77375
Phone (281) 357-4516

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1194258996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 S BRAESWOOD BLVD APT 12G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304377",
            "telephone_number": "713-679-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 S PADRE ISLAND DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124913",
            "telephone_number": "361-761-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "67327",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "87895",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.