Active NPI
Tony Ai Pham, M.D.
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1245419225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M5883
- Practice address
- 1315 St Joseph Pkwy 1307
Houston, TX 77002-8236 - Phone
- (713) 376-3459
- Fax
- (832) 369-7665
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | M5883 | TX | |
| Psychiatry Physician | 2084P0800X | M5883 | TX | Primary |
Addresses
Primary practice location
1315 St Joseph Pkwy 1307
Houston, TX 77002-8236
Mailing address
2247 Goldsmith St
Houston, TX 77030-1118
Phone (713) 376-3459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173990604 | Medicaid | TX | |
| 173990601 | Medicaid | TX |
Other names 1
- Dr. Ai CHI Pham
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050624000870 | TX | Practitioner - Psychiatry | 6507801024 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Baylor College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1315 St Joseph Pkwy
Houston, TX 77002-8236
Phone (713) 376-3459
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5883 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony a Pham MD PA | Psychiatry | Current | Accepting new patients |
| Primary Medicine Center LLC | Psychiatry | Past | Accepting new patients |
Locations
1315 St Joseph Pkwy
Ste 1307
Houston, TX 77002
Phone (713) 376-3459
Interoperability endpoints
- tonya.pham@tonyaphammdpa.chartmakerdirect.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Houston, TX
- NPI 1245754902
-
- Psychiatry Physician
- Houston, TX
- NPI 1063470912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1245419225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2247 GOLDSMITH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301118",
"telephone_number": "713-376-3459",
"fax_number": "832-369-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 ST JOSEPH PKWY 1307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770028236",
"telephone_number": "713-376-3459",
"fax_number": "832-369-7665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TONY",
"middle_name": "AI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "M5883",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M5883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173990604",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173990601",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AI",
"last_name": "PHAM",
"middle_name": "CHI",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.