Individual provider Active NPI

Ngoc Kim Pham, MD

  • Anesthesiology Physician
  • Towson, MD
National Provider Identifier
1316382476
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0083550 Issued in MD
Practice address
6701 N Charles St
Towson, MD 21204-6881
Phone
(443) 849-2202
NPI assigned
May 2, 2013
Last updated
Feb 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0083550 MD Primary

Addresses

Primary practice location

6701 N Charles St
Towson, MD 21204-6881

Mailing address

6701 N Charles St Ste 4902
Towson, MD 21204-6881
Phone (443) 849-2202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170825000751 DC Practitioner - Anesthesiology 3274805221 Reassigns benefits to 2 organizations
I20221005003084 MD Practitioner - Anesthesiology 3274805221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GBMC Hospital Based Services LLCGroup PAC ID 6002299369, 46 clinicians

Practice addresses (Care Compare)

6401 N Charles St
RM 4226
Baltimore, MD 21212-1016
Phone (443) 849-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083550MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Anesthesiology Associate PA Anesthesiology CurrentSince Aug 14, 2017 Accepting new patients
GBMC Hospital Based Services, LLC. Anesthesiology CurrentSince Oct 10, 2022 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

6401 N Charles St
Rm 4226
Baltimore, MD 21212
Phone (443) 849-2121

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

6701 N Charles St
Ste 4902
Towson, MD 21204
Phone (410) 377-7000

2730 University Blvd W
Ste 104
Wheaton, MD 20902
Phone (301) 942-8799

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1316382476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST STE 4902",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046881",
            "telephone_number": "443-849-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046881",
            "telephone_number": "443-849-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC",
        "middle_name": "KIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0083550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.