Individual provider Active NPI

Duc Minh Pham, MD

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1336246842
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
31116 Issued in AZ
Practice address
3320 N. Miller Road
Scottsdale, AZ 85251-6430
Phone
(480) 961-9299
Fax
(480) 961-1802
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 31116 AZ Primary

Addresses

Primary practice location

3320 N. Miller Road
Scottsdale, AZ 85251-6430

Mailing address

3320 N. Miller Road
Scottsdale, AZ 85251-6430
Phone (480) 961-9299

Other identifiers 1

IdentifierTypeStateIssuer
784274MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040406001619 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 5294728127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial Surgery
Education
Vanderbilt University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3320 N Miller Rd
Scottsdale, AZ 85251-6430
Phone (480) 961-9299

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Apr 1, 2018 Accepting new patients
Scottsdale Surgical Center, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Duc M Pham, MD PC CurrentSince Mar 17, 2015 Accepting new patients

Locations

15215 S 48th St
Ste 113
Phoenix, AZ 85044
Phone (480) 961-3330

9202 N 2nd St
Phoenix, AZ 85020
Phone (480) 583-0500

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

3320 N Miller Rd
Scottsdale, AZ 85251
Phone (480) 949-1208

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 5

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 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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1336246842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N. MILLER ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516430",
            "telephone_number": "480-961-9299",
            "fax_number": "480-961-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N. MILLER ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516430",
            "telephone_number": "480-961-9299",
            "fax_number": "480-961-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DUC",
        "middle_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "31116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "784274",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.