Individual provider Active NPI

Uyenvy Vu Pham, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1902091879
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML20009111 Issued in WA
Practice address
3815 S Othello St Ste 2
Seattle, WA 98118-3510
Phone
(206) 788-3700
NPI assigned
Sep 13, 2007
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML20009111 WA Primary

Addresses

Primary practice location

3815 S Othello St Ste 2
Seattle, WA 98118-3510

Mailing address

720 8TH Ave S Ste 2
Seattle, WA 98104-3032
Phone (206) 788-3700

Other practice location 1

1401 Madison St
Suite 100
Seattle, WA 98104-1316
Phone (206) 386-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20110328000712 WA Practitioner - Family Practice 1951584077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3815 S Othello St
FL 2
Seattle, WA 98118-3510
Phone (206) 788-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML20009111WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Mar 14, 2011 Accepting new patients
International Community Health Services CurrentSince Aug 1, 2011 Accepting new patients
International Community Health Services Family Medicine CurrentSince Feb 2, 2020 Accepting new patients
Neighborcare Health CurrentSince Mar 14, 2011 Accepting new patients
Neighborcare Health Current Accepting new patients
International Community Health Services CurrentSince Aug 1, 2011 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

3815 S Othello St
Ste 2
Seattle, WA 98118

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3757

720 8th Ave S
Ste 2
Seattle, WA 98104

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Interoperability endpoints

  • Direct secure messaging: upham1042940@wm.providencedirect.org

Organizations & group practices 7

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.

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1902091879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 8TH AVE S STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043032",
            "telephone_number": "206-788-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 S OTHELLO ST STE 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183510",
            "telephone_number": "206-788-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Madison St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981041316",
            "country_code": "US",
            "telephone_number": "206-386-6111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "UYENVY",
        "middle_name": "VU",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML20009111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.