Active NPI
Chau N Pham, DO
- Family Medicine Physician
- Watauga, TX
National Provider Identifier
1881659381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0508
- Practice address
- 8325 Whitley Rd
Suite: 100
Watauga, TX 76148-2487 - Phone
- (817) 479-1181
- Fax
- (817) 918-4432
- NPI assigned
- Apr 18, 2006
- Last updated
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0508 | TX | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | L0508 | TX |
Addresses
Primary practice location
8325 Whitley Rd
Suite: 100
Watauga, TX 76148-2487
Mailing address
8325 Whitley Rd
Ste 100
Watauga, TX 76148-2493
Phone (817) 479-1181
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043666901 | Medicaid | TX | |
| P00480556 | Other | MEDICARE RAILROAD | |
| DH2407 | Other | TX | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Geriatric Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8325 Whitley Rd
Watauga, TX 76148-2493
Phone (817) 479-1181
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel's Star Wellness Center, P.a | Family Medicine | Current | Accepting new patients |
Locations
8325 Whitley Rd
Ste 100
Watauga, TX 76148
Phone (817) 479-1181
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Watauga, TX
- NPI 1457412710
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AlevCare
- Community Based Hospice Care Agency
- Mansfield, TX
- NPI 1578090957
-
dba Medical City Alliance
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
-
dba Sunrise Home Health Services
- Home Health Agency
- Bedford, TX
- NPI 1265524557
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1881659381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 WHITLEY RD",
"address_2": "STE 100",
"city": "WATAUGA",
"state": "TX",
"postal_code": "761482493",
"telephone_number": "817-479-1181",
"fax_number": "817-918-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 WHITLEY RD",
"address_2": "SUITE: 100",
"city": "WATAUGA",
"state": "TX",
"postal_code": "761482487",
"telephone_number": "817-479-1181",
"fax_number": "817-918-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "CHAU",
"middle_name": "N",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2021-10-08",
"certification_date": "2021-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L0508",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "L0508",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043666901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00480556",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DH2407",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watauga, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.