Organization Active NPI

Duc M Pham, MD PC

  • Specialist
  • Scottsdale, AZ
National Provider Identifier
1689848574
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31116 Issued in AZ
Legal business name
DUC M PHAM, MD PC
Practice address
3320 N. Miller Road
Scottsdale, AZ 85251-6430
Phone
(480) 961-9299
Fax
(480) 961-1802
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Duc M Pham, MD, PCNPI 1336246842
Title
Director
Phone
(480) 961-9299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 31116 AZ Primary

Addresses

Primary practice location

3320 N. Miller Road
Scottsdale, AZ 85251-6430

Mailing address

3320 N. Miller Road
Scottsdale, AZ 85251-6430
Phone (480) 961-9299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040622000849 AZ Part B Supplier - Clinic/Group Practice 9436134640 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1689848574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N. MILLER ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516430",
            "telephone_number": "480-961-9299",
            "fax_number": "480-961-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N. MILLER ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516430",
            "telephone_number": "480-961-9299",
            "fax_number": "480-961-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUC M PHAM, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DUC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-961-9299",
        "authorized_official_credential": "MD, PC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "31116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.