Active NPI
Daniel Quoc Bao Pham, MD
- Endocrinology, Diabetes & Metabolism Physician
- Merriam, KS
National Provider Identifier
1265019426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 04-53133
- Practice address
- 7450 Kessler St Ste 203
Merriam, KS 66204-2553 - Phone
- (913) 676-7585
- NPI assigned
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2024-01677 | NC | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 04-53133 | KS | Primary |
Addresses
Primary practice location
7450 Kessler St Ste 203
Merriam, KS 66204-2553
Mailing address
7450 Kessler St Ste 203
Merriam, KS 66204-2553
Phone (913) 676-7585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20240914000225 | NC | Order and Referring Only - Internal Medicine | 7911300546 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- dpham1157938@direct.unc.nchie.net
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1265019426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 KESSLER ST STE 203",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042553",
"telephone_number": "913-676-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 KESSLER ST STE 203",
"city": "MERRIAM",
"state": "KS",
"postal_code": "662042553",
"telephone_number": "913-676-7585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DANIEL",
"middle_name": "QUOC BAO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2024-01677",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "KS",
"license": "04-53133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merriam, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.