Jonathan Cuong Pham

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

S8896 Issued in TX

Practice address

1500 S Main St
Fort Worth, TX 76104-4917

Phone

(817) 702-8840

NPI assigned

Mar 27, 2019

Last updated

Jun 10, 2021By 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, LA2 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

Specialty

Interventional Pain Management

Education

Medical College of Georgia School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C and M Medical Services IncGroup PAC ID 9436061553, 9 clinicians

La Pain Doctor IncGroup PAC ID 7618272121, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Parish Hospital Hospital, Lutcher, LA, CCN 191305

Merit-based Incentive Payment System (MIPS)

Final score

76.8 of 100Reported as group

Quality

30

Promoting interoperability

91

Improvement activities

40

Cost

76.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.pham@397.securemail.prognocis.com

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.

• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment Care Compare group NPD
• La Pain Doctor Inc

  • Pain Medicine Physician
  • La Place, LA
  • NPI 1760856215
  Medicare reassignment Care Compare group NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Ies Central Texas PLLC

  • Emergency Medicine Physician
  • Hillsboro, TX
  • NPI 1003523002
  Medicare reassignment NPD
• Integrative Emergency Services Physician Group PA

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1285922542
  Medicare reassignment NPD
• La Urgent Care

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1982587283
  Medicare reassignment NPD
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  NPD
• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  NPD (past)
• Aec Physicians, LLC

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
  • NPI 1346574217
  NPD (past)

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

• St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
  • NPI 1588654966
  Care Compare affiliation

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1699236299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JONATHAN",
        "middle_name": "CUONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Pham, DO
• Hasan Pham
• Huong Lan Pham, PA-C
• Huong Truong-Hoai Pham, PA-C
• Jennifer Pham, OD
• Khoa N Pham, MD
• Linda Hoang Pham, D.C.
• Linda Ngoc Pham, PMHNP-BC
• Peter Minh Pham, DO
• Tri Huu Pham, DDS

• Emergency Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.