Thi Anh Pham

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4399 Issued in FL

Practice address

3435 Pine Ridge Rd Ste 102
Naples, FL 34109-3828

Phone

(239) 260-7476

Fax

(239) 260-7608

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians

Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thi.pham.3@4399.direct.athenahealth.com

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.

• Pascarella Hoover Finkelstein & Wagner DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Altamonte Springs, FL
  • NPI 1740275635
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Hoover, AL
  • NPI 1538686498

  FL

  Medicare reassignment Care Compare group NPD
• Pedirite Medical FL LLC

  • General Practice Physician
  • Debary, FL
  • NPI 1750962023
  Medicare reassignment NPD
• Pascarella, Hoover, Finkelstein, Wagner, DPM, PA

  • Foot Surgery Podiatrist
  • Orlando, FL
  • NPI 1649585571
  NPD
• Upperline Healthcare, PC

  • Foot & Ankle Surgery Podiatrist
  • Ocoee, FL
  • NPI 1326906843
  NPD

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

• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1518420959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 PINE RIDGE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093828",
            "telephone_number": "239-260-7476",
            "fax_number": "239-260-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 PINE RIDGE RD STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093828",
            "telephone_number": "239-260-7476",
            "fax_number": "239-260-7608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 E 124th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351815",
            "country_code": "US",
            "telephone_number": "212-410-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THI",
        "middle_name": "ANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Anne Pezzullo, M.D.
• Elizabeth McKenna Pfent, DMD
• Christopher Joseph Pham, DO
• Gina Pham, PHARMD
• Luann Pham
• Timothy Doan Pham, CRNA
• Queanh N Phan, DMD
• Tuvy L Phan
• Liane Pharis
• Philip J Organ DPM PA

• Foot & Ankle Surgery Podiatrist in Naples, FL
• Providers in Naples, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.