Active NPI
Lily Pham
- Neurology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D94565
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PA
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D94565 | MD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Neurology Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Neurology Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Neurology Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Neurosurgery Associates P a | Current | 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
- 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.
-
- Neurological Surgery Physician
- Columbia, MD
- NPI 1639119035
MD
-
- Specialist
- Baltimore, MD
- NPI 1245049519
-
- Specialist
- Baltimore, MD
- NPI 1720895121
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.