Active NPI
Vinh Kim Pham, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1265813166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 94-08578
- Practice address
- 920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- Fax
- (405) 271-8695
- NPI assigned
- Jun 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 94-08578 | KS | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd # Wp1140
Oklahoma City, OK 73104-5036
Mailing address
PO Box 26901
Oklahoma City, OK 73126-0901
Phone (405) 271-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20220506001063 | KS | Practitioner - Anesthesiology | 8921312026 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wichita Echocardiographers LLCWichita Anesthesiology Chartered
Practice addresses (Care Compare)
8080 E Central Ave
Suite 250
Wichita, KS 67206-2367
Phone (316) 686-7327
Hospital & facility affiliations
- Wesley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 40.05 of 100
- Quality
- 47.12
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
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": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1265813166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26901",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260901",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD # WP1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351",
"fax_number": "405-271-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "VINH",
"middle_name": "KIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KS",
"license": "94-08578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.