Individual provider Active NPI

Nam-Kha Pham, M.D.

  • Interventional Pain Medicine Physician
  • Orlando, FL
National Provider Identifier
1780851543
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME115152 Issued in FL
Practice address
1170 S Semoran Blvd
Orlando, FL 32807-1458
Phone
(407) 622-7246
Fax
(407) 599-7246
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME115152 FL Primary

Addresses

Primary practice location

1170 S Semoran Blvd
Orlando, FL 32807-1458

Mailing address

5365 W Atlantic Ave
Suite 504
Delray Beach, FL 33484-8172
Phone (561) 241-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20130923000021 FL Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Anesthesiology 6103078845 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1530 Citrus Medical CT
Suite 101
Ocoee, FL 34761-4548
Phone (407) 622-7246

Merit-based Incentive Payment System (MIPS)

Final score
96.19 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine CurrentSince Apr 25, 2014 Accepting new patients
Florida Pain and Rehabilitation Associates Inc Interventional Pain Medicine Current Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Apr 25, 2014 Accepting new patients
Florida Pain and Rehabilitation Institute Inc Interventional Pain Medicine Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

15127 S Jog Rd
Ste 106
Delray Beach, FL 33446
Phone (561) 488-4444

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

451 S Milwee St
Ste 1010
Longwood, FL 32750
Phone (321) 424-6950

1530 Citrus Medical Ct
Ste 101
Ocoee, FL 34761
Phone (321) 320-8790

1170 S Semoran Blvd
Ste C
Orlando, FL 32807
Phone (407) 382-1376

1170 S Semoran Blvd
Orlando, FL 32807
Phone (407) 622-7246

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: npham@nationalspine.emadirect.md
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1780851543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE",
            "address_2": "SUITE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848172",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 S SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328071458",
            "telephone_number": "407-622-7246",
            "fax_number": "407-599-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NAM-KHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME115152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.