Individual provider Active NPI

Hieu Mitchell Duc Pham, MD

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
National Provider Identifier
1649775925
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E-15236 Issued in AR
Practice address
2000 W 15TH St
Plano, TX 75075-7331
Phone
(972) 612-9000
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E-15236 AR Primary

Addresses

Primary practice location

2000 W 15TH St
Plano, TX 75075-7331

Mailing address

PO Box 863898
Plano, TX 75086-3898
Phone (469) 939-0372

Other practice location 1

4301 W Markham St # 709
Little Rock, AR 72205-7101
Phone (501) 686-5838

Other practice location 2

4301 West Markham St., Slot 602
ATTN: Austin
Little Rock, AR 72205
Phone (501) 526-7732

Other identifiers 1

IdentifierTypeStateIssuer
6M1196OtherTXMEDICARE

Other names 1

  • Hieu Pham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220919002800 AR Practitioner - Physical Medicine and Rehabilitation 1355699851 Reassigns benefits to 1 organization
I20240319001884 TX Practitioner - Physical Medicine and Rehabilitation 1355699851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Texas a & M University System, HSC, College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Plano Neurosurgical Associates, PLLCGroup PAC ID 9234269556, 4 clinicians

Practice addresses (Care Compare)

2710 N Josey LN
Carrollton, TX 75007-5400
Phone (469) 701-9108

2800 W 15TH St
Plano, TX 75075-7526
Phone (972) 612-9000

6160 Windhaven Pkwy
Suite 210
Plano, TX 75093-2139
Phone (972) 473-2700

Hospital & facility affiliations

  • Genuine Home Health Services Home health agency, Plano, TX, CCN 679631
  • Encompass Health Rehabilitation Hospital of Plano Inpatient rehabilitation facility, Plano, TX, CCN 453047
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
  • Encompass Health Rehabilitaiton Hospital of Richar Inpatient rehabilitation facility, Richardson, TX, CCN 673029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Plano Neurosurgical Associates, PLLC CurrentSince May 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 15, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Aug 15, 2022 Accepting new patients
University of Arkansas for Medical Sciences Physical Medicine & Rehabilitation Current Accepting new patients
Physiatry of Plano, PLLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2024 Accepting new patients
Luis a Mignucci, MD PA Past Accepting new patients
Encompass Health Rehabilitation Hospital of Plano, LLC Past Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#602
Little Rock, AR 72205
Phone (501) 221-1311

4301 W Markham St
#709
Little Rock, AR 72205
Phone (501) 686-5838

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

2800 W 15th St
Plano, TX 75075
Phone (972) 238-7339

2901 W Parker Rd
Unit 863898
Plano, TX 75086
Phone (469) 939-0372

6160 Windhaven Pkwy
Ste 210
Plano, TX 75093
Phone (972) 378-4124

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1649775925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863898",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750863898",
            "telephone_number": "469-939-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757331",
            "telephone_number": "972-612-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 709",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-5838",
            "fax_number": "501-225-0627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 West Markham St., Slot 602",
            "address_2": "ATTN: Austin",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-526-7732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HIEU",
        "middle_name": "MITCHELL DUC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-15236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6M1196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIEU",
            "last_name": "PHAM",
            "credential": "MITCHELL PHAM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.