Individual provider Active NPI

Hien Quang Pham, MD

  • Family Medicine Physician
  • Irving, TX
National Provider Identifier
1689647968
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K0540 Issued in TX
Practice address
6750 N Macarthur Blvd
Suite 250
Irving, TX 75039-2875
Phone
(972) 401-2802
Fax
(972) 401-0458
NPI assigned
Feb 8, 2006
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K0540 TX Primary

Addresses

Primary practice location

6750 N Macarthur Blvd
Suite 250
Irving, TX 75039-2875

Mailing address

2021 N Macarthur Blvd
Suite 150
Irving, TX 75061-2219
Phone (972) 253-2560

Other identifiers 1

IdentifierTypeStateIssuer
1335754 12MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090812000288 TX Practitioner - Family Practice 6103970033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

10720 Barker Cypress Rd
Cypress, TX 77433-3129
Phone (713) 347-6828

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K0540TXMDFamily Medicine Physician
012467TXMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Jul 7, 2018 Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 7, 2018 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Texas Emergency Room Services , PA Past Accepting new patients
East Texas Medical Center Quitman PastSince Feb 10, 2010 Accepting new patients
East Texas Medical Center Quitman Past Accepting new patients

Locations

10720 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 345-4800

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

6750 N MacArthur Blvd
Ste 250
Irving, TX 75039
Phone (972) 817-1180

Interoperability endpoints

  • Direct secure messaging: hien.pham.1@13711.direct.athenahealth.com
  • Direct secure messaging: hpham328896@direct.sw.org

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

Hospital & facility affiliations 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1689647968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "SUITE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-2560",
            "fax_number": "972-253-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 N MACARTHUR BLVD",
            "address_2": "SUITE 250",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392875",
            "telephone_number": "972-401-2802",
            "fax_number": "972-401-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HIEN",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1335754 12",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.