Active NPI
Robert Pham, PH.D MD
- Gastroenterology Physician
- Las Vegas, NV
National Provider Identifier
1740596188
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Apr 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 1010026780
- Practice address
- 848 N Rainbow Blvd
#2531
Las Vegas, NV 89107-1103 - Phone
- (702) 942-7344
- Fax
- (954) 543-7183
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 1010026780 | NV | Primary |
Addresses
Primary practice location
848 N Rainbow Blvd
#2531
Las Vegas, NV 89107-1103
Mailing address
848 N Rainbow Blvd
#2531
Las Vegas, NV 89107-1103
Phone (702) 942-7344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010026780 | Other | NV | NEVADA LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010026780 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1740596188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD",
"address_2": "#2531",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "702-942-7344",
"fax_number": "954-543-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD",
"address_2": "#2531",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "702-942-7344",
"fax_number": "954-543-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "ROBERT",
"credential": "PH.D MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "1010026780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA LICENSE",
"identifier": "1010026780",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.