Ailey Pham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12727 Issued in TX

Practice address

800 W Arbrook Blvd Ste 100
Arlington, TX 76015-4316

Phone

(817) 200-6680

Fax

(817) 200-6731

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ai Le Kiem Pham Former name

Medicare fee-for-service enrollment

Enrolled in TX, IN, NM, MT, AZ, WA, CA, OK8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Workit Health Mi PLLCGroup PAC ID 6406101625, shared by 26 NPIs, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ailey.pham@597174495543300.direct.elationemr.com

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.

• Workit Health Mi PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1932796240
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Lakewood, WA
  • NPI 1134748643
  Medicare reassignment NPD
• Workit Health Mi PLLC

  dba Workith Health MI PLLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1508521220
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Missoula, MT
  • NPI 1639744006
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1689403958
  Medicare reassignment NPD
• Workit Health Mi PLLC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1730824863
  Medicare reassignment NPD
• Workit Health PC

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1245748201
  Medicare reassignment NPD
• Tri City Psychiatric Services, P.a.

  • Psychiatry Physician
  • Arlington, TX
  • NPI 1770764466
  Medicare reassignment
• Workit Health Mi PLLC

  • General Practice Physician
  • Norman, OK
  • NPI 1639890320
  Medicare reassignment
• Workit Health PC

  • General Practice Physician
  • Cheyenne, WY
  • NPI 1154054161
  NPD

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1841756434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154316",
            "telephone_number": "817-200-6680",
            "fax_number": "817-200-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W ARBROOK BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154316",
            "telephone_number": "817-200-6680",
            "fax_number": "817-200-6731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6011 Meadowdale Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760176419",
            "country_code": "US",
            "telephone_number": "817-673-9559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "AILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AI",
            "last_name": "PHAM",
            "middle_name": "LE KIEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John B Pettway, M.D.
• Derek Andrew Petty, DDS
• Darrius Montre Peyton, COTA/L
• Reece Pfannenstiel, MD
• PH Ops of Arlington LLC (Pure Health Transitional Care at THR Arlington)
• Alexander T Pham, D.C.
• Bao Tram Pham
• Duc Xuan Pham, DDS
• Duyen Pham
• Elizabeth Ngoc Pham, FNP-C

• Physician Assistant in Arlington, TX
• Providers in Arlington, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.