Bao Pham, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-19779 Issued in HI

Practice address

1100 Ward Ave Ste 700
Honolulu, HI 96814

Phone

(808) 544-2600

Fax

(808) 441-1704

NPI assigned

May 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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 1

Specialty

Family Practice

Education

New York Medical College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
• Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
• Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
• Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Straub Clinic & Hospital

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1457306508
  Medicare reassignment Care Compare group NPD
• Straub Clinic & Hospital

  • Community/Retail Pharmacy
  • Honolulu, HI
  • NPI 1295443216
  NPD
• Straub Clinic & Hospital

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
  • NPI 1851443733
  NPD (past)

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

• B. C. P., Inc.

  • Home Health Agency
  • Honolulu, HI
  • NPI 1306105176
  Care Compare affiliation
• B.C.P., Inc.

  • Home Health Agency
  • Honolulu, HI
  • NPI 1225478605
  Care Compare affiliation
• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• Prime Care Services Hawaii Inc

  • Home Health Agency
  • Honolulu, HI
  • NPI 1730176488
  Care Compare affiliation
• Straub Clinic & Hospital

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1720031701
  Care Compare affiliation

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

{
    "created_epoch": "1430524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1780061358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141617",
            "telephone_number": "808-544-2600",
            "fax_number": "808-441-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 700",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-544-2600",
            "fax_number": "808-441-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95-390 Kuahelani Ave",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967891192",
            "country_code": "US",
            "telephone_number": "808-627-3254",
            "fax_number": "808-627-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-19779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Pettiford
• Kyree Pew
• William F. Pfeiffer, MD
• Amanda Nicole Pfeil, M.S., CCC-SLP
• Catherine Pfuntner
• Carena Rachel Pham
• Carol G. Pham, M.D.
• Jennifer Hanh-Lee Pham, DDS
• Mai Ly Pham
• Nicholas Pham

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.

Verify at the official NPI Registry.