Trinh Cong Pham, D.O.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

H59518 Issued in MD

Practice address

515 Fairmount Ave
Suite 350
Towson, MD 21286-5466

Phone

(410) 494-1340

Fax

(410) 494-1240

NPI assigned

Jun 28, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Dermatology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinical Associates P aGroup PAC ID 1254631005, 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.85 of 100Reported as group

Quality

80.72

Promoting interoperability

79

Improvement activities

40

Cost

76.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Clinical Associates P a

  • Multi-Specialty Clinic/Center
  • Towson, MD
  • NPI 1871973628

  Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• Clinical Associates PA

  • Foot & Ankle Surgery Podiatrist
  • Pikesville, MD
  • NPI 1568264281
  NPD
• Clinical Associates P a

  • Ambulatory Surgical Clinic/Center
  • Towson, MD
  • NPI 1982074001
  NPD (past)
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  NPD (past)
• Toledo Surgical Specialists, Inc

  • Surgery Physician
  • Toledo, OH
  • NPI 1497792683
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1700814944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "# 350",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1355",
            "fax_number": "410-494-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "SUITE 350",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1340",
            "fax_number": "410-494-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRINH",
        "middle_name": "CONG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "H59518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trinh.pham.p2@direct.clinicalassociates.nextgenshare.com",
            "affiliation": "N",
            "address_1": "515 Fairmount Ave",
            "address_2": "Suite 350",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212865466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Petty
• Paige Kristina Pfeffer
• Pgi Holdings LLC
• Pgi Holdings LLC
• Ngoc Kim Pham, MD
• Constance Phelps, LMSW
• Mary Alice Phelps, LIC. ACUPUNCTURIST
• Elisabeth Mary Philip, LCSW-C
• Sandra L. Phillips, OT
• Shelia Phillips

• MOHS-Micrographic Surgery Physician in Towson, MD
• Providers in Towson, MD by specialty
• MOHS-Micrographic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.