Anh Tuan Pham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME147031 Issued in FL

Practice address

5848 West Atlantic Ave
Suite 143
Delray Beach, FL 33408

Phone

(561) 270-6950

Fax

(561) 404-4028

NPI assigned

Aug 18, 2005

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Fellsmere, FL
  • NPI 1891740916
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD
• Treasure Coast Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Vero Beach, FL
  • NPI 1609686542
  NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1265424956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 WEST ATLANTIC AVE",
            "address_2": "SUITE 143",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-270-6950",
            "fax_number": "561-404-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 WEST ATLANTIC AVE",
            "address_2": "SUITE 143",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33408",
            "telephone_number": "561-270-6950",
            "fax_number": "561-404-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANH",
        "middle_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-09-05",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME147031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME147031",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petmed Express Inc (1-800-PetMeds)
• Andrea Marie Petri
• Michael G Petrover, MD
• Kayleen Pezaris
• Harvey Alan Pflanzer
• Pharmacy 18, Inc (Life Quality Pharmacy, Inc)
• Pharmacy Associates LLC (Apex Pharmacy)
• Pharmacy Associates LLC (Apex Pharmacy)
• PHC Pharmacy LLC
• Connor Phelan

• Family Medicine Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.