David T D Pham, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1011822 Issued in TX

Practice address

3939 US Highway 80 E Ste 458a
Mesquite, TX 75150-8109

Phone

(972) 289-2273

Fax

(972) 439-1776

NPI assigned

Sep 6, 2007

Last updated

Sep 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Doorstep Procare Management LLCGroup PAC ID 8527366889, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medsource Health Care System Home health agency, Dallas, TX, CCN 679551
• Nourish Homehealth and Therapy Services Home health agency, Carrollton, TX, CCN 747699
• Vstar Home Care LLC Home health agency, McKinney, TX, CCN 748115

Merit-based Incentive Payment System (MIPS)

Final score

8.21 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

27.38

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Doorstep Procare Management LLC

  • General Practice Physician
  • Mesquite, TX
  • NPI 1275996860
  Medicare reassignment Care Compare group NPD
• Holy Family Health Net PLLC

  • Nurse Practitioner
  • Garland, TX
  • NPI 1659015105
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dallas County Physicians Choice Homecare LLC

  dba Nourish Homehealth and Therapy Services

  • Home Health Agency
  • Carrollton, TX
  • NPI 1497059554
  Care Compare affiliation
• Medlink Network, LLC

  dba Medsource Health Care System

  • Home Health Agency
  • Rowlett, TX
  • NPI 1437226560
  Care Compare affiliation
• Vstar Home Care LLC

  • Home Health Agency
  • McKinney, TX
  • NPI 1790405611
  Care Compare affiliation

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1487849188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "address_2": "MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER IM EDU",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 US HIGHWAY 80 E STE 458A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751508109",
            "telephone_number": "972-289-2273",
            "fax_number": "972-439-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DAVID",
        "middle_name": "T D",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "922214",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "TL2791",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1011822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie A Peterson, M.D.
• Benjamin Paul Petrinec
• Rebekah J Petty, NP
• PF Vision, LLC
• Anthony D Pham, DDS
• Hilary Claire Pham, APRN
• Uyen T Phan, RDH
• George Thottumkal Philip, D.M.D
• Prince Philip, M.D.
• Sandhya Susan Philip, RN, APN

• Family Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.