Individual provider Active NPI

Cliff C Pham, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1720155989
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36346 Issued in AZ
Practice address
10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5216
Phone
(480) 607-3800
Fax
(480) 607-3808
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 36346 AZ
Family Medicine Physician 207Q00000X 36346 AZ Primary

Addresses

Primary practice location

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5216

Mailing address

10900 N Scottsdale Rd
Suite 603
Scottsdale, AZ 85254-5216
Phone (480) 607-3800

Other practice location 1

1955 W Baseline Rd Ste 113-647
Mesa, AZ 85202-9016
Phone (480) 626-4813

Other identifiers 2

IdentifierTypeStateIssuer
175969MedicaidAZ
36346OtherAZMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070223000593 AZ Practitioner - Family Practice 7113029042 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apollo Hospitalists PLLCGroup PAC ID 7618070640, 16 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
33.67 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
33.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36346AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2026 Accepting new patients
Dvma, LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jan 1, 2026 Accepting new patients
Scottsdale Primary Care, PC Internal Medicine CurrentSince Dec 26, 2012 Accepting new patients
Tri City Medical Hospitalists LLC Internal Medicine Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients

Locations

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

7534 E 2nd St
Ste 102
Scottsdale, AZ 85251
Phone (480) 607-3800

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10900 N Scottsdale Rd
Ste 603
Scottsdale, AZ 85254
Phone (480) 607-3800

Organizations & group practices 8

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 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1720155989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "SUITE 603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 N SCOTTSDALE RD",
            "address_2": "SUITE 603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545216",
            "telephone_number": "480-607-3800",
            "fax_number": "480-607-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 W Baseline Rd Ste 113-647",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852029016",
            "country_code": "US",
            "telephone_number": "480-626-4813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CLIFF",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "36346",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "36346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175969",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "36346",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.