Individual provider Active NPI

John-Paul Pham, MD

  • Interventional Cardiology Physician
  • Jacksonville, FL
National Provider Identifier
1841491503
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME107417 Issued in FL
Practice address
8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685
Phone
(904) 513-3179
Fax
(904) 337-1641
NPI assigned
May 30, 2007
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME107417 FL
Cardiovascular Disease Physician 207RC0000X ME107417 FL
Interventional Cardiology Physician 207RI0011X 35.123904 OH
Interventional Cardiology Physician 207RI0011X ME107417 FL Primary

Addresses

Primary practice location

8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685

Mailing address

8075 Gate Pkwy W Ste 302
Jacksonville, FL 32216-3685
Phone (904) 513-3179

Other identifiers 13

IdentifierTypeStateIssuer
024325001MedicaidFL
338492OtherFLAVMED
835289786AMedicaidGA
HR822AOtherFLFL MEDICARE - GROUP
024325000MedicaidFL
DI920AOtherFLFL MEDICARE - INDIVIDUAL
PO1575702OtherFLRR MEDICARE - INDIVIDUAL
016132100MedicaidFL
12815090-15OtherFLMULTIPLAN
ONK5EOtherFLFLORIDA BLUE
DU5524OtherFLRR MEDICARE - GROUP
004XPOtherFLFLORIDA BLUE - GROUP
ONK5EOtherFLFLORIDA BLUE - OFFICE

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
I20100813000448 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103950076 Reassigns benefits to 4 organizations
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians
Duval Vascular Center LLCGroup PAC ID 6305131251, 3 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32216
Phone (904) 503-2697

4205 Belfort Rd
Jacksonville, FL 32216-1471
Phone (904) 296-0278

915 W Monroe St
Suite 100
Jacksonville, FL 32204-1177
Phone (904) 518-1398

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
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

LicenseStateTypeSpecialty
ME107417FLMDInterventional Cardiology Physician
35.123904OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duval Vascular Center, LLC Interventional Cardiology CurrentSince Sep 1, 2019 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Mar 1, 2020 Accepting new patients
Cardiac Imaging Inc CurrentSince Apr 1, 2026 Accepting new patients
Minimally Invasive Vascular, Inc CurrentSince Dec 2, 2025 Accepting new patients
John-Paul Pham Interventional Cardiology PastSince Apr 1, 2018 Accepting new patients
Vascular Anesthesia Associates PLLC Interventional Cardiology PastSince Sep 1, 2019 Accepting new patients
Kok L. Chong MD PA PastSince Dec 2, 2025 Accepting new patients

Locations

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

4205 Belfort Rd
Ste 2069
Jacksonville, FL 32216
Phone (904) 296-0278

4225 Southpoint Pkwy S
Jacksonville, FL 32216
Phone (904) 296-2226

915 W Monroe St
Ste 100
Jacksonville, FL 32204
Phone (904) 518-1398

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

2720 US Highway 1 S
Ste C
Saint Augustine, FL 32086
Phone (415) 412-8324

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJEBD/Endpoint/IHJEBD
  • Direct secure messaging: john-paul.pham.1@8967.direct.athenahealth.com
  • Direct secure messaging: jpham740706@direct.shands.ufl.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1841491503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-513-3179",
            "fax_number": "904-337-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JOHN-PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107417",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107417",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.123904",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME107417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024325001",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "338492",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "835289786A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE - GROUP",
            "identifier": "HR822A",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024325000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE - INDIVIDUAL",
            "identifier": "DI920A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - INDIVIDUAL",
            "identifier": "PO1575702",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016132100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "12815090-15",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "ONK5E",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - GROUP",
            "identifier": "DU5524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE - GROUP",
            "identifier": "004XP",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE - OFFICE",
            "identifier": "ONK5E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.