Antoine Nguyen Pham, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P6243 Issued in TX

Practice address

2006 S Bagdad Rd Ste 150
Leander, TX 78641-3578

Phone

(512) 697-7090

Fax

(512) 697-7097

NPI assigned

Apr 20, 2010

Last updated

Jan 13, 2024By 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 1

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

Internal Medicine

Education

University of North Texas HSC, College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Physicians PLLCGroup PAC ID 2567717713, 6 clinicians

Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jol Healthcare Home health agency, Kyle, TX, CCN 747926
• Sonder Hospice Hospice, Austin, TX, CCN 971572
• Hospice Austin Hospice, Austin, TX, CCN 451515
• Sage Park Austin Nursing home, Austin, TX, CCN 675533

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Austin Community Hospice, LLC

  dba Sonder Hospice

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1447816087

  Contracted Managing Employee

  CMS ownership

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.

• Hospital Internists of Texas, LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1912430281
  Medicare reassignment Care Compare group NPD
• Thrive Physicians PLLC

  dba Thrive Medical Clinic

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1821585340
  Medicare reassignment Care Compare group NPD
• Healthdrive Medical Services of Texas LLC

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1457132169
  Medicare reassignment NPD
• Careconnectmd Texas PA

  • General Practice Physician
  • Austin, TX
  • NPI 1043846132
  Medicare reassignment
• Hit Population Health Services PLLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1710563655
  Medicare reassignment
• Healthdrive Medical Services Southeast LLC

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1437930146

  TX

  Medicare reassignment

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

• Austin Community Hospice, LLC

  dba Sonder Hospice

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1447816087
  Care Compare affiliation
• Hospice Austin

  • Community Based Hospice Care Agency
  • Austin, TX
  • NPI 1376503201
  Care Compare affiliation
• Jol Home Health Kyle, LLC

  dba JOL Healthcare

  • Home Health Agency
  • Kyle, TX
  • NPI 1740741081
  Care Compare affiliation
• S-H Opco Spicewood Springs, LLC

  dba Juniper Village at Spicewood Summit

  • Skilled Nursing Facility
  • Austin, TX
  • NPI 1154730067

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1619293388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PARK BEND DR STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585674",
            "telephone_number": "512-697-7090",
            "fax_number": "512-697-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S BAGDAD RD STE 150",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413578",
            "telephone_number": "512-697-7090",
            "fax_number": "512-697-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Park Bend Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787585674",
            "country_code": "US",
            "telephone_number": "512-697-7090",
            "fax_number": "512-697-7097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANTOINE",
        "middle_name": "NGUYEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Louise Payne
• PCT DDS PLLC
• Briann Pendergraff
• Andrew Davis Pepin, PT
• Natalie Jane Perez
• Mai Thi Pham
• Chieu Huynh Phan
• Malory Phillips
• Physio 360 LLC
• Jae Hoon Pi

• Internal Medicine Physician in Leander, TX
• Providers in Leander, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.