Active NPI
Tommy Duong Pham, MD
- Family Medicine Physician
- Danville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19703
- Practice address
- Geisinger Medical Center 100 North Academy Avenue
Danville, PA 17822-0001 - Phone
- (570) 271-6211
- NPI assigned
- Apr 5, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT221762 | PA | |
| Family Medicine Physician | 207Q00000X | 1025485 | MA | |
| Family Medicine Physician | 207Q00000X | MD19703 | RI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Geisinger Medical Center 100 North Academy Avenue
Danville, PA 17822-0001
Mailing address
21 Rena St
Worcester, MA 01604-6009
Phone (508) 335-2410
Other practice location 1
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
Other practice location 2
345 Blackstone Blvd
Providence, RI 02906-4800
Phone (401) 680-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Copeland Dr
Mansfield, MA 02048-1225
Phone (508) 339-4144
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
455 Tollgate Rd
Warwick, RI 02886-2759
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1025485 | MA | MD | Family Medicine Physician |
| MD19703 | RI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Affinity Physicians LLC. | Family Medicine | Current | Accepting new patients |
| Sturdy Health, Inc. | Family Medicine | Current | Accepting new patients |
| BHG Lxxix, LLC | Current | Accepting new patients | |
| BHG Lvii, LLC | Past | Accepting new patients | |
| BHG Lvii, LLC | Past | Accepting new patients | |
| BHG Lvii, LLC | Past | Accepting new patients | |
| BHG Lvii, LLC | Past | Accepting new patients |
Locations
127 Pearl St
Attleboro, MA 02703
Phone (508) 222-9146
200 Copeland Dr
Mansfield, MA 02048
Phone (508) 339-4144
100 N Academy Ave
Danville, PA 17822
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
82 Pond St
Rm 100
Pawtucket, RI 02860
Phone (401) 727-1287
82 Pond St
Pawtucket, RI 02860
Phone (401) 727-1287
345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
5001 Spring Vly
Ste 600E
Dallas, TX 75244
Organizations & group practices 9
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.
-
dba BHG Medical Services - Rhode Island
- Substance Use Disorder Rehabilitation Clinic/Center
- Pawtucket, RI
- NPI 1902516917
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
dba BHG Providence Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Providence, RI
- NPI 1245814656
-
dba BHG Johnston Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Johnston, RI
- NPI 1295319689
-
dba BHG Middletown Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, RI
- NPI 1386228781
-
dba BHG Westerly Treatment Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Westerly, RI
- NPI 1700460110
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1750910402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 RENA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016046009",
"telephone_number": "508-335-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178220001",
"telephone_number": "570-271-6211"
}
],
"practiceLocations": [
{
"address_1": "200 Copeland Dr",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "MA",
"postal_code": "020481225",
"country_code": "US",
"telephone_number": "508-339-4144",
"fax_number": "508-342-1929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "345 Blackstone Blvd",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064800",
"country_code": "US",
"telephone_number": "401-680-6502",
"fax_number": "401-680-4128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "TOMMY",
"middle_name": "DUONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-05",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT221762",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "1025485",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "RI",
"license": "MD19703",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.