Active NPI
Namtran H Pham, M.D.
- Ophthalmology Physician
- Arlington, VA
National Provider Identifier
1730117359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 0101053654
- Practice address
- 3801 N Fairfax Drive
Ste 74
Arlington, VA 22203 - Phone
- (703) 528-3910
- Fax
- (703) 528-4367
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101053654 | VA | Primary |
Addresses
Primary practice location
3801 N Fairfax Drive
Ste 74
Arlington, VA 22203
Mailing address
3801 N Fairfax Drive
Ste 74
Arlington, VA 22203
Phone (703) 528-3910
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247570 | Other | ANTHEM BCBS | |
| 2563678 | Other | UNITED HEALTHCARE | |
| 7580719 | Other | AETNA | |
| 6804019 | Other | CIGNA | |
| 732437 | Other | NCPPO | |
| 5666624 | Other | MAILHANDERSFIRSTHEALTH | |
| 9399465 | Other | PHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053654 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornea Consultants, P.C. 2 | Past | Accepting new patients | |
| Kotecha Eye & Laser Center, PLLC | Past | Accepting new patients | |
| Capital Vision PLLC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Arlington, VA
- NPI 1578601605
-
dba Capital Vision
- Ophthalmologic Surgery Clinic/Center
- Arlington, VA
- NPI 1447429444
-
- Corneal and Contact Management Optometrist
- Rockville, MD
- NPI 1376910539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1730117359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 N FAIRFAX DRIVE",
"address_2": "STE 74",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22203",
"telephone_number": "703-528-3910",
"fax_number": "703-528-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 N FAIRFAX DRIVE",
"address_2": "STE 74",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22203",
"telephone_number": "703-528-3910",
"fax_number": "703-528-4367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "NAMTRAN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0101053654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "247570",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2563678",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7580719",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6804019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "732437",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDERSFIRSTHEALTH",
"identifier": "5666624",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9399465",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.