Individual provider Active NPI

Dinh Quoc Pham, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1861495657
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME82117 Issued in FL
Practice address
1880 E Commercial Blvd Ste 3
Fort Lauderdale, FL 33308-3747
Phone
(954) 938-8998
Fax
(954) 901-2838
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME82117 FL Primary

Addresses

Primary practice location

1880 E Commercial Blvd Ste 3
Fort Lauderdale, FL 33308-3747

Mailing address

2098 NE 54TH St
Fort Lauderdale, FL 33308-3158
Phone (954) 938-8998

Other identifiers 1

IdentifierTypeStateIssuer
267997300MedicaidFL

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
I20051025000610 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6204853682 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL; Wilton Manors, FL; West Palm Beach, FL; Pompano Beach, FL; Parkland, FL; North Lauderdale, FL; Lauderhill, FL; Fort Lauderdale, FL…

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Wright State University Boonshoft School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1031 Seminole Dr
Fort Lauderdale, FL 33304-3243
Phone (954) 780-5627

1208 S Military TRL
Horizons Club
Deerfield Beach, FL 33442-8709
Phone (954) 481-2304

13550 S Jog Rd
100 Cora Physical Therapy W Delray Beac
Delray Beach, FL 33446-3808
Phone (561) 496-5144

2403 W Hillsboro Blvd
Brookdale Deer Creek
Deerfield BCH, FL 33442-8507
Phone (954) 283-7828

3001 Country Club Blvd
Deerfield Beach, FL 33442-8438
Phone (954) 698-6269

3701 W McNab Rd
Preserve at Palm Air
Pompano Beach, FL 33069-4966
Phone (954) 970-2600

4840 W Atlantic Ave
Delray Beach, FL 33445-3907
Phone (502) 632-4496

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.45
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82117FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Healthcare of South Florida LLC Geriatric Medicine CurrentSince Jul 14, 2018 Accepting new patients

Locations

1208 S Military Trl
Deerfield Beach, FL 33442
Phone (954) 427-2681

1880 E Commercial Blvd
Ste 3
Ft Lauderdale, FL 33308
Phone (954) 650-7666

295 SW 4th Ave
Pompano Beach, FL 33060
Phone (561) 960-2020

1701 NE 26th St
Wilton Manors, FL 33305
Phone (386) 562-4899

1776 NE 26th St
Wilton Manors, FL 33305
Phone (954) 566-1775

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Willowbrooke Court at St. Andrews EstatesBoca Raton, FL, CCN 105355 Skilled nursing facility Adp of the SNF Jan 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1861495657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 NE 54TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083158",
            "telephone_number": "954-938-8998",
            "fax_number": "954-281-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E COMMERCIAL BLVD STE 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333083747",
            "telephone_number": "954-938-8998",
            "fax_number": "954-901-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DINH",
        "middle_name": "QUOC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME82117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267997300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.