Dang Thanh Pham, M.D.

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

R0481 Issued in TX

Practice address

4000 Spencer Hwy
Pasadena, TX 77504-1202

Phone

(844) 307-4206

NPI assigned

May 4, 2012

Sex

Female

Sole proprietor

Yes

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 TX

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

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

University of Texas Medical Branch at Galveston, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Lone Star Intensivists at Gulf Coast, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Webster, TX
  • NPI 1528558236
  Medicare reassignment Care Compare group NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• Chca Bayshore LP

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1174576698
  Care Compare affiliation

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1578822946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FANNIN ST",
            "address_2": "MGJ9-002",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "844-307-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 Fannin St",
            "address_2": "MGJ9-002",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302703",
            "country_code": "US",
            "telephone_number": "713-441-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DANG",
        "middle_name": "THANH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10044093",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "R0481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kaye Petitt, FNP
• Matthew Sean Petitt, DO
• Darnell D Pettway, MD
• Peyman Pakzaban, MD PA
• PH Squared LLC
• Hieu T. Pham, D.O.
• Nguyen Pham
• Tuan Quoc Pham, D.D.S.
• Tung Cao Pham
• Mary Ngoc Phan, DDS

• Surgical Critical Care Physician in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Surgical Critical Care Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.