Individual provider Active NPI

Diana Q Pham, MD

  • Physical Medicine & Rehabilitation Physician
  • Charlottesville, VA
National Provider Identifier
1912437773
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101282767 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0804
Phone
(434) 924-3627
Fax
(434) 443-4260
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 0101282767 VA
Physical Medicine & Rehabilitation Physician 208100000X 0101282767 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0804

Mailing address

PO Box 749112
Atlanta, GA 30374-9112
Phone (434) 295-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210902000875 TX Practitioner - Internal MedicinePractitioner - Undersea and Hyperbaric Medicine 8820494636 Reassigns benefits to 1 organization
I20240924002211 VA Practitioner - Physical Medicine and RehabilitationPractitioner - Undersea and Hyperbaric Medicine 8820494636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Undersea and Hyperbaric Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians

Practice addresses (Care Compare)

1215 Lee St
Charlottesville, VA 22908-2325
Phone (434) 924-8129

Hospital & facility affiliations

  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019
  • Uva Encompass Health Rehabilitation Hospital Inpatient rehabilitation facility, Charlottesville, VA, CCN 493029

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue184
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Provider Health PA CurrentSince Sep 1, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 15, 2024 Accepting new patients
Premier Provider Health PA CurrentSince Sep 1, 2021 Accepting new patients
Premier Provider Health PA Past Accepting new patients

Locations

9301 N Central Expy
Ste 340
Dallas, TX 75231
Phone (214) 466-2828

251 Westpark Way
Ste 300
Euless, TX 76040
Phone (817) 848-5880

5575 Warren Pkwy
Ste 206
Frisco, TX 75034
Phone (469) 287-7089

1325 Pennsylvania Ave
Ste 750
Ft Worth, TX 76104
Phone (817) 250-1970

6161 State Highway 161
Ste 310
Irving, TX 75038
Phone (469) 697-6064

5220 W University Dr
Ste 290
McKinney, TX 75071
Phone (469) 678-8322

1128 Clarksville St
Ste 50
Paris, TX 75460
Phone (903) 739-7620

9150 Huebner Rd
Ste 120
San Antonio, TX 78240
Phone (210) 334-0012

17450 St Lukes Way
Ste 360
The Woodlands, TX 77384
Phone (281) 872-6306

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

545 Ray C Hunt Dr
Ste 3100
Charlottesville, VA 22903
Phone (434) 443-4260

545 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 243-0311

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

515 Ray C Hunt Dr
Charlottesvle, VA 22903
Phone (434) 244-2000

1015 Spring Creek Pkwy
Zion Crossroads, VA 22942
Phone (434) 243-9136

Interoperability endpoints

  • Direct secure messaging: dpham81191@direct.phhs.org
  • Direct secure messaging: dpham638489@direct.healthsystem.virginia.edu

Organizations & group practices 4

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 4

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1912437773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112",
            "telephone_number": "434-295-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080804",
            "telephone_number": "434-924-3627",
            "fax_number": "434-443-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DIANA",
        "middle_name": "Q",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "VA",
            "license": "0101282767",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101282767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.