Individual provider Active NPI

Tri Minh Pham, MD

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1831205707
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101235759 Issued in VA
Practice address
5985 Columbia Pike
Suite 102
Falls Church, VA 22041
Phone
(703) 578-0707
Fax
(703) 578-0909
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101235759 VA Primary

Addresses

Primary practice location

5985 Columbia Pike
Suite 102
Falls Church, VA 22041

Mailing address

5985 Columbia Pike
Suite 102
Falls Church, VA 22041
Phone (703) 578-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20051201000849 DC Practitioner - Internal Medicine 6305866534 Reassigns benefits to 1 organization
I20250219001451 VA Practitioner - Internal Medicine 6305866534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12191 Clipper Dr
Woodbridge, VA 22192-2237
Phone (703) 457-8648

5985 Columbia Pike
Falls Church, VA 22041-2044
Phone (703) 578-0707

5985 Columbia Pike
Suite 102
Falls Church, VA 22041-2043

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Westminster at Lake Ridge Nursing home, Lake Ridge, VA, CCN 495280
  • August Healthcare at Leewood Nursing home, Annandale, VA, CCN 495337
  • Arleigh Burke Pavilion Nursing home, MC Lean, VA, CCN 495410
  • Carlin Springs Health & Rehabilitation Nursing home, Arlington, VA, CCN 495102

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as individual
Quality
70.57
Improvement activities
40
Cost
78.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235759VAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: tri.pham.1@10574.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1831205707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 COLUMBIA PIKE",
            "address_2": "SUITE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "703-578-0707",
            "fax_number": "703-578-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 COLUMBIA PIKE",
            "address_2": "SUITE 102",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "22041",
            "telephone_number": "703-578-0707",
            "fax_number": "703-578-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRI",
        "middle_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.