Angela Pham, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

450 S Easton Rd
Glenside, PA 19038-3215

Phone

(215) 572-2900

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Urology Partners of North Texas, PLLCGroup PAC ID 7315283454, 91 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Urology Partners of North Texas, PLLC

  • Urology Physician
  • Arlington, TX
  • NPI 1528537180
  Medicare reassignment Care Compare group
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  Medicare reassignment NPD
• Urology Partners of North Texas, PLLC

  • Urology Physician
  • San Antonio, TX
  • NPI 1619827912
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1316631963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 W WHEATLAND RD STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373455",
            "telephone_number": "972-708-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190383215",
            "telephone_number": "215-572-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chong Nyue Park
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania Home Care LLC
• Pennsylvania LTC Inc
• Jovon Petty, LAT, ATC
• Lindsay Phillips, PA-C, MPH
• Ppscare Pharmacy LLC
• Shawna J Price, LCSW
• Pulmonary Clinical Solutions, LLC
• David C Pyle, DMD

• Physician Assistant in Glenside, PA
• Providers in Glenside, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.

Verify at the official NPI Registry.