Individual provider Active NPI

Diemphuong Nina Pham, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1902986128
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4773 Issued in TX
Practice address
2951 Chimney Rock Rd
C
Houston, TX 77056-5937
Phone
(713) 880-1950
Fax
(713) 880-4666
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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 K4773 TX Primary

Addresses

Primary practice location

2951 Chimney Rock Rd
C
Houston, TX 77056-5937

Mailing address

2951 Chimney Rock Rd
C
Houston, TX 77056-5937
Phone (713) 880-1950

Other names 1

  • Dr. Nina Pham Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027001528 TX Practitioner - Family PracticePractitioner - General Practice 4385837459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4773TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

6520 Westheimer Rd
#A
Houston, TX 77057
Phone (346) 226-2028

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

6520 Westheimer Rd
Ste A
Houston, TX 77057
Phone (346) 226-2028

Interoperability endpoints

  • Direct secure messaging: diemphuong.pham.1@13711.direct.athenahealth.com

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1902986128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 CHIMNEY ROCK RD",
            "address_2": "C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565937",
            "telephone_number": "713-880-1950",
            "fax_number": "713-880-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 CHIMNEY ROCK RD",
            "address_2": "C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565937",
            "telephone_number": "713-880-1950",
            "fax_number": "713-880-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DIEMPHUONG",
        "middle_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "PHAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.