Individual provider Active NPI

Lily Pham

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1407218282
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D94565 Issued in MD
Practice address
110 S Paca St
Baltimore, MD 21201-1642
Phone
(410) 328-2482
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D94565 MD Primary

Addresses

Primary practice location

110 S Paca St
Baltimore, MD 21201-1642

Mailing address

110 S Paca St
Baltimore, MD 21201-1642
Phone (410) 328-2482

Other practice location 1

1 Baylor Plz
Houston, TX 77030-3411
Phone (703) 994-3357

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpham@som.umaryland.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220927000104 MD Practitioner - Neuropsychiatry 4385020551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Maryland Neurology Associates PAGroup PAC ID 7810974649, 54 clinicians

Practice addresses (Care Compare)

16 S Eutaw St
Floor 3
Baltimore, MD 21201-1606
Phone (410) 328-4323

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-4323

2200 Kernan Dr
Baltimore, MD 21207-6665
Phone (410) 448-6383

Hospital & facility affiliations

  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D94565MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Neurology Associates, P.a. CurrentSince Aug 1, 2022 Accepting new patients
University of Maryland Neurology Associates, P.a. Current Accepting new patients
University of Maryland Neurology Associates, P.a. CurrentSince Aug 1, 2022 Accepting new patients
University of Maryland Neurosurgery Associates P a CurrentSince Jan 22, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#N6W40
Baltimore, MD 21201

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

22 S Greene St
Ste 12D
Baltimore, MD 21201
Phone (410) 328-6034

850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

850 W Baltimore St
Fl 3
Baltimore, MD 21201

22 S Greene St
Fl 1
Baltimore, MD 21201
Phone (410) 328-0152

Interoperability endpoints

  • Direct secure messaging: lpham926547@direct.umm.edu

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 and National Provider Directory roles.

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1407218282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "703-994-3357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "LILY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D94565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpham@som.umaryland.edu",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "110 S Paca St",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212011642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.