Justin Hung Pham, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A72116 Issued in CA

Practice address

8201 E Riverside Blvd
Rockford, IL 61114-2300

Phone

(815) 971-7000

NPI assigned

May 17, 2006

Last updated

Jan 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in CA, PA, FL, GA, KY, OH, VA, OK, TX, NY, MS, ME, IL, MO, NC, ID, AZ, NM, LA, AL, TN, DC, IA, MN, SC, NV, AR, WV, WI, NJ, KS31 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 31

Specialty

Diagnostic Radiology

Education

University of Vermont College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shi Radiology LLCGroup PAC ID 9931678992, 8 clinicians

Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, shared by 11 NPIs, 498 clinicians

Washington Radiologists Medical Group IncGroup PAC ID 6305927245, 66 clinicians

Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Franklin County Board of County CommissionersGroup PAC ID 3274541115, 29 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians

Hospital Specialist Solutions LLCGroup PAC ID 3476040247, 31 clinicians

Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, 48 clinicians

Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians

Fisher County Hospital DistrictGroup PAC ID 2163311465, shared by 4 NPIs, 27 clinicians

Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788
• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
• Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
• Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles (60 of 293)

Locations (25 of 222)

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
• FHIR API: https://fhir-myrecord.cerner.com/r4/6b68bc92-a317-4686-a79a-fbb1b58a509e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jpham155529@direct.whhs.com
• Direct secure messaging: justin.pham@direct.myteamcare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockford Health Physicians

  dba Mercyhealth Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment Care Compare group NPD
• Advanced Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1669123626
  Medicare reassignment Care Compare group NPD
• Blackwell Physicians, LLC

  dba AHC Imaging

  • Diagnostic Radiology Physician
  • Rockville, MD
  • NPI 1932772589

  DC

  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  dba Hereford Regional Medical Center

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Medicare reassignment Care Compare group NPD
• Hospital Specialist Solutions, LLC

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1982595856

  CA

  Medicare reassignment Care Compare group NPD
• Matrix Medical Network of West

  dba Matrix Medical Network

  • Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1942569033

  WV

  Medicare reassignment NPD Authorized official
• Mercy Health System Corporation

  dba MHS Physician Services

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603

  IL

  Medicare reassignment Care Compare group NPD
• Shi Specialists LLC

  • Body Imaging Physician
  • Clewiston, FL
  • NPI 1912761917

  CA, TX

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  dba Simonmed Imaging

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  CA

  Medicare reassignment Care Compare group NPD
• Somc Medical Care Foundation, Inc.

  • Family Medicine Physician
  • Portsmouth, OH
  • NPI 1457467227
  Medicare reassignment Care Compare group NPD
• Titus County Hospital District

  dba Titus Regional Medical Center

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881
  Medicare reassignment Care Compare group NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD

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

• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609
  Care Compare affiliation
• Adventist Healthcare, Inc.

  dba Adventist HealthCare White Oak Medical Center

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024
  Care Compare affiliation
• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  Care Compare affiliation
• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation
• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1821040866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296",
            "telephone_number": "608-756-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611142300",
            "telephone_number": "815-971-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3315",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 5TH ST N",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052008",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7026 Old Katy Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242187",
            "country_code": "US",
            "telephone_number": "713-621-7436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk BLVD",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-513-1609",
            "fax_number": "662-232-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State ST",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand AVE",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "fax_number": "662-746-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1100",
            "fax_number": "601-267-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 E San Pedro St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780415479",
            "country_code": "US",
            "telephone_number": "956-704-5153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Metro Center Blvd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028861785",
            "country_code": "US",
            "telephone_number": "401-921-9202",
            "fax_number": "401-921-9212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JUSTIN",
        "middle_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P3059",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD16575",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036120081",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "21973",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A72116",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2007-0239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A711260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100056140",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927677",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A711260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102062266 0005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102062266 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Karoleanne Pfau
• Norman H Pfile
• Jeremiah Albert Pflederer, M.D.
• Daniel Phalin
• Daniel H Pham, OPTOMETRIST
• Karen Phelan, MD
• Peter F Phelan, MD
• Brenden Tyler Phelps
• Jamie E Phelps, ATC
• Jillian Marie Phelps, O.D.

• Diagnostic Radiology Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.