Individual provider Active NPI

VI H. Pham, PA-C

  • Physician Assistant
  • Farmington, CT
National Provider Identifier
1215312962
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004213 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-0001
Phone
(860) 679-8080
Fax
(860) 679-1430
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5465 MA
Physician Assistant 363A00000X 004213 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-0001

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-8080

Other practice location 1

2150 Main St
Springfield, MA 01104-3566
Phone (413) 739-5676

Other practice location 2

2150 Main St
Springfield, MA 01104-3566
Phone (413) 739-5676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vpham31967@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126002098 CT Practitioner - Physician Assistant 2264749217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210

7 Elm St
Enfield, CT 06082-3669
Phone (860) 394-4708

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Oct 30, 2018 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Sep 7, 2022 Accepting new patients
University of Connecticut Health Center CurrentSince Oct 30, 2018 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Sep 7, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Orthopedic Associates of Hartford,PC Past Accepting new patients

Locations

7 Elm St
Ste 204
Enfield, CT 06082
Phone (860) 741-2242

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

74 Batterson Park Rd
Ste 107
Farmington, CT 06032

499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

Interoperability endpoints

  • Direct secure messaging: vpham31967@direct.med.uchc.edu
  • Direct secure messaging: vi.pham@xdr.hhchealthdirect.org

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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1215312962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-8080",
            "fax_number": "860-679-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043566",
            "country_code": "US",
            "telephone_number": "413-739-5676",
            "fax_number": "413-733-5860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043566",
            "country_code": "US",
            "telephone_number": "413-739-5676",
            "fax_number": "413-733-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VI",
        "middle_name": "H.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5465",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "004213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpham31967@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.