Active NPI
Cavatina Luugiang Pham, DO
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1821409780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- TX2441
- Practice address
- 12245 Richmond Ave
Houston, TX 77082-2518 - Phone
- (281) 558-6700
- Fax
- (281) 558-0103
- NPI assigned
- May 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | TX2441 | TX | Primary |
Addresses
Primary practice location
12245 Richmond Ave
Houston, TX 77082-2518
Mailing address
12245 Richmond Ave
Houston, TX 77082-2518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12245 Richmond Ave
Houston, TX 77082-2518
Phone (281) 558-6700
Hospital & facility affiliations
- HCA Houston Healthcare West
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Hospital System
- Memorial Hermann Katy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX2441 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Avenue Family Practice Associates PA | Single Specialty | Current | Accepting new patients |
Locations
12245 Richmond Ave
Houston, TX 77082
Phone (281) 558-5558
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1811982275
Single Specialty
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1275580938
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1821409780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12245 RICHMOND AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12245 RICHMOND AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822518",
"telephone_number": "281-558-6700",
"fax_number": "281-558-0103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CAVATINA",
"middle_name": "LUUGIANG",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-14",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "TX2441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.