Active NPI
Dinh Quoc Pham, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME82117
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267997300 | Medicaid | FL |
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
- Internal 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 Inc
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
- Absolute Home Care, Inc.
- Senior Care Solutions
- Seaside Home Health Care LLC
- Compassionate Caring Home Care D9 Inc
- Unlimited Health Care Services, Inc.
- Vitas Healthcare Corporation of Florida
- Boca Raton Regional Hospital
- Holy Cross Hospital
- Willowbrooke Court at St Andrews Estates
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 91.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME82117 | FL | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Healthcare of South Florida LLC | Geriatric Medicine | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Willowbrooke Court at St. Andrews Estates | 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.
-
dba St Andrews Estates North
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1982647368
Adp of the SNF
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.
-
dba Intergrative Health Care of South Florida
- Geriatric Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1407343015
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1740373968
-
dba St Andrews Estates North
- Skilled Nursing Facility
- Boca Raton, FL
- NPI 1982647368
Nursing home
-
- Home Health Agency
- Boynton Beach, FL
- NPI 1710750526
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
-
dba Seaside Home Health
- Home Health Agency
- Deerfield Beach, FL
- NPI 1184271140
-
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1982725016
-
- Community Based Hospice Care Agency
- Boynton Beach, FL
- NPI 1467507657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.