Individual provider Active NPI

Ngoc Han Thi Pham, DPM

  • Podiatrist
  • Cape Coral, FL
National Provider Identifier
1851701429
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3630 Issued in FL
Practice address
4706 Chiquita Blvd S Ste 200 # SW01
Cape Coral, FL 33914-6324
Phone
(305) 586-8502
Fax
(239) 323-9933
NPI assigned
May 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3630 FL Primary

Addresses

Primary practice location

4706 Chiquita Blvd S Ste 200 # SW01
Cape Coral, FL 33914-6324

Mailing address

PO Box 390
Estero, FL 33929-0390
Phone (305) 586-8502

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013002250 FL Practitioner - Podiatry 7618197773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4706 Chiquita Blvd S
Suite 200
Cape Coral, FL 33914-6324
Phone (305) 586-8502

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12
Removal of nail tissue1406
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3630FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Regional Foot and Ankle Specialists PLLC Podiatrist CurrentSince Mar 24, 2014 Accepting new patients

Locations

4706 Chiquita Blvd S
Ste 200
Cape Coral, FL 33914
Phone (239) 834-9333

20461 S Tamiami Trl
Ste 18
Estero, FL 33928
Phone (305) 586-8502

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 1

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1851701429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339290390",
            "telephone_number": "305-586-8502",
            "fax_number": "239-323-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 CHIQUITA BLVD S STE 200 # SW01",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146324",
            "telephone_number": "305-586-8502",
            "fax_number": "239-323-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC HAN",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-05",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.