Individual provider Active NPI

Tiffany Pham, MD

  • Anesthesiology Physician
  • Tucson, AZ
National Provider Identifier
1306336540
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
U1545 Issued in TX
Practice address
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone
(520) 742-9000
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2022-02310 NC
Anesthesiology Physician 207L00000X 01094974A IN
Anesthesiology Physician 207L00000X U1545 TX Primary
Anesthesiology Physician 207L00000X 4916-320 WI

Addresses

Primary practice location

2200 S Houghton Rd
Tucson, AZ 85748-7632

Mailing address

PO Box 840853
Dallas, TX 75284-4427
Phone (972) 233-1999

Other practice location 1

N2198 Unc Hospitals Cb# 7010
Chapel Hill, NC 27599-0001
Phone (919) 966-5136

Other practice location 2

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Other practice location 3

151 Pennsylvania Pkwy
Carmel, IN 46280-1379
Phone (317) 817-1100

Other practice location 4

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

Other identifiers 1

IdentifierTypeStateIssuer
300101565MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tpham@direct.iuhealth.org Direct
Direct Messaging Address tpham@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WI, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20231012001694 TX Practitioner - Anesthesiology 6507111267 Reassigns benefits to 5 organizations
I20241017000579 AZ Practitioner - Anesthesiology 6507111267 Reassigns benefits to 1 organization
I20241028000925 WI Practitioner - Anesthesiology 6507111267 Reassigns benefits to 1 organization
I20250107003480 IN Practitioner - Anesthesiology 6507111267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (520) 543-6100

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Indiana University Health North Hospital Hospital, Carmel, IN, CCN 150161
  • Iu Health West Hospital Hospital, Avon, IN, CCN 150158

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01094974AINMDAnesthesiology Physician
2022-02310NCMDAnesthesiology Physician
U1545TXMDAnesthesiology Physician
4916-320WIMDAnesthesiology Physician
4916WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest HBP Medical Services LLC CurrentSince Oct 11, 2024 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Sep 27, 2023 Accepting new patients
Hill Regional Physician Group, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Anesthesiology Consultants of North Texas PA Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Stratus Dominion Anesthesia Associates PLLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Mar 1, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Reliance Anesthesia Group, PLLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Sep 27, 2023 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Mar 1, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Oct 27, 2024 Accepting new patients
Stratus Anesthesia Associates Southlake PLLC Anesthesiology Past Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology Past Accepting new patients
Stratus Anesthesia Associates Dallas PLLC Anesthesiology Past Accepting new patients

Locations (25 of 27)

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

5208 Reliable Pkwy
Chicago, IL 60686

151 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1100

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

17051 Dallas Pkwy
Ste 100
Addison, TX 75001
Phone (469) 718-5260

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747

3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1021 Holden St
Glen Rose, TX 76043
Phone (254) 897-1425

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1306336540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844427",
            "telephone_number": "972-233-1999",
            "fax_number": "972-233-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857487632",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N2198 Unc Hospitals Cb# 7010",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-5136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Pennsylvania Pkwy",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462801379",
            "country_code": "US",
            "telephone_number": "317-817-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "888-484-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TIFFANY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2022-02310",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01094974A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U1545",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "4916-320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300101565",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpham@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "151 Pennsylvania Pkwy",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462801379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpham@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.