Individual provider Active NPI

Tommy Duong Pham, MD

  • Family Medicine Physician
  • Danville, PA
National Provider Identifier
1750910402
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19703 Issued in RI
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

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240828001200 RI Practitioner - Family Practice 5698198232 Reassigns benefits to 2 organizations
I20251222002862 MA Practitioner - Family PracticePractitioner - Addiction Medicine 5698198232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sturdy Health IncGroup PAC ID 9537152806, 191 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

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

LicenseStateTypeSpecialty
1025485MAMDFamily Medicine Physician
MD19703RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine Current Accepting new patients
Affinity Physicians LLC CurrentSince Feb 1, 2026 Accepting new patients
Affinity Physicians LLC. Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Sturdy Health, Inc. Family Medicine CurrentSince Dec 29, 2025 Accepting new patients
BHG Lxxix, LLC CurrentSince Jan 8, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.