NPIMap

Individual provider Active NPI

Thong Diep Pham, MD

  • Neurology Physician
  • Louisville, KY
National Provider Identifier
1720376338
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01080039A Issued in IN
Practice address
301 East Muhammad Ali Boulevard
Louisville, KY 40201
Phone
(502) 852-5466
NPI assigned
Jul 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301107533 MI
Neurology Physician 2084N0400X 49356 KY
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 01080039A IN Primary

Addresses

Primary practice location

301 East Muhammad Ali Boulevard
Louisville, KY 40201

Mailing address

P.O. Box 909
Louisville, KY 40201
Phone (502) 588-0328

Other practice location 1

900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5106

Other practice location 2

520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 882-5220

Other identifiers 2

IdentifierTypeStateIssuer
7100427880MedicaidKY
201384630MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160722002482 KY Practitioner - Neurology 4385957893 Reassigns benefits to 3 organizations
I20180426001733 IN Practitioner - Neurology 4385957893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Saint Louis University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 E Chestnut St
Louisville, KY 40202-5700
Phone (502) 813-6410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01080039AINMDNeurology Physician
49356KYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Nov 3, 2020 Accepting new patients
Taylor Regional Medical Group LLC CurrentSince Sep 11, 2017 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Aug 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Good Samaritan Hospital CurrentSince Nov 3, 2020 Accepting new patients
Taylor Regional Medical Group,LLC Current Accepting new patients
University of Louisville Physicians, Inc. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Taylor Regional Medical Group,LLC CurrentSince Sep 11, 2017 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

301 E Muhammad Ali Blvd
Louisville, KY 40202
Phone (502) 852-0710

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Interoperability endpoints

  • Direct secure messaging: tpham13927@uoflhealth-dm.org

Organizations & group practices 10

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1720376338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40201",
            "telephone_number": "502-588-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EAST MUHAMMAD ALI BOULEVARD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40201",
            "telephone_number": "502-852-5466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424311644",
            "country_code": "US",
            "telephone_number": "270-825-5106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475911038",
            "country_code": "US",
            "telephone_number": "812-882-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THONG",
        "middle_name": "DIEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-17",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301107533",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "49356",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01080039A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100427880",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201384630",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.