Active NPI
John-Paul Pham, MD
- Interventional Cardiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME107417
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024325001 | Medicaid | FL | |
| 338492 | Other | FL | AVMED |
| 835289786A | Medicaid | GA | |
| HR822A | Other | FL | FL MEDICARE - GROUP |
| 024325000 | Medicaid | FL | |
| DI920A | Other | FL | FL MEDICARE - INDIVIDUAL |
| PO1575702 | Other | FL | RR MEDICARE - INDIVIDUAL |
| 016132100 | Medicaid | FL | |
| 12815090-15 | Other | FL | MULTIPLAN |
| ONK5E | Other | FL | FLORIDA BLUE |
| DU5524 | Other | FL | RR MEDICARE - GROUP |
| 004XP | Other | FL | FLORIDA BLUE - GROUP |
| ONK5E | Other | FL | FLORIDA 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
Enrollment records 1
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
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
- HCA Florida Memorial Hospital
- Flagler Hospital
- Baptist Health Medical Center - Jacksonville
- HCA Florida Orange Park Hospital
- Ascension St Vincent's Southside
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME107417 | FL | MD | Interventional Cardiology Physician |
| 35.123904 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duval Vascular Center, LLC | Interventional Cardiology | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Internal Medicine | Current | Accepting new patients |
| St Vincents Ambulatory Care Inc | Current | Accepting new patients | |
| Cardiac Imaging Inc | Current | Accepting new patients | |
| Minimally Invasive Vascular, Inc | Current | Accepting new patients | |
| John-Paul Pham | Interventional Cardiology | Past | Accepting new patients |
| Vascular Anesthesia Associates PLLC | Interventional Cardiology | Past | Accepting new patients |
| Kok L. Chong MD PA | Past | 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
- https://fhir4.healow.com/fhir/r4/IHJEBD/Endpoint/IHJEBD
- john-paul.pham.1@8967.direct.athenahealth.com
- 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.
-
- Medical Specialty Clinic/Center
- Jacksonville, FL
- NPI 1013375195
Interventional Cardiology
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
Internal Medicine
-
- Vascular & Interventional Radiology Physician
- St Augustine, FL
- NPI 1972006351
-
dba Well & You
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1275298747
-
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1154802833
-
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1881197044
-
dba Ascension St Vincent's Medical Group
- Durable Medical Equipment & Medical Supplies
- Jacksonville, FL
- NPI 1679226690
-
- Mobile Radiology Clinic/Center
- Oakbrook Terrace, IL
- NPI 1770830606
-
- Vascular & Interventional Radiology Physician
- St Augustine, FL
- NPI 1821585811
-
dba Vascular Anesthesia Associates
- Certified Registered Nurse Anesthetist
- Houston, TX
- NPI 1346706173
Interventional Cardiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba Ascension St. Vincent's Southside
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1396926747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.