Individual provider Active NPI

Dung Q Pham, M.D

  • Pediatric Urology Physician
  • Houston, TX
National Provider Identifier
1932543246
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
N3993 Issued in TX
Practice address
1200 Binz St Ste 690
Houston, TX 77004-6943
Phone
(713) 366-7831
Fax
(713) 482-5815
NPI assigned
Apr 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X N3993 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 690
Houston, TX 77004-6943

Mailing address

1200 Binz St Ste 690
Houston, TX 77004-6943
Phone (713) 366-7831

Other practice location 1

915 Gessner Rd
Ste 985
Houston, TX 77024-2558
Phone (713) 366-7831

Other practice location 2

6156 Richmond Ave
Houston, TX 77057-6210
Phone (713) 366-7831

Other practice location 3

21316 Provincial Blvd
Katy, TX 77450-7580
Phone (713) 366-7831

Other practice location 4

15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880
Phone (713) 366-7831

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
I20130920000339 TX Practitioner - Urology 4688818230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odr Pediatric Urology Institute PLLCGroup PAC ID 6507193984, 2 clinicians

Practice addresses (Care Compare)

915 Gessner Rd
Suite 985
Houston, TX 77024-2558
Phone (346) 339-5949

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Odr Pediatric Urology Institute PLLC Pediatric Urology CurrentSince Sep 1, 2019 Accepting new patients
Memorial Hermann Medical Group CurrentSince Jul 16, 2014 Accepting new patients

Locations

915 Gessner Rd
Ste 985
Houston, TX 77024
Phone (346) 339-5949

6400 Fannin St
Ste 2300
Houston, TX 77030
Phone (713) 366-7800

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

6156 Richmond Ave
Houston, TX 77057
Phone (713) 366-7831

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

1200 Binz St
Ste 690
Houston, TX 77004
Phone (713) 366-7831

21316 Provincial Blvd
Katy, TX 77450
Phone (281) 647-6667

15200 Southwest Fwy
Ste 350
Sugar Land, TX 77478
Phone (713) 366-7831

Interoperability endpoints

  • Direct secure messaging: dpham66536@memorialhermann.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1932543246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046943",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046943",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 GESSNER RD",
            "address_2": "STE 985",
            "address_purpose": "LOCATION",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242558",
            "country_code": "US",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6156 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770576210",
            "country_code": "US",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21316 Provincial Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774507580",
            "country_code": "US",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15200 Southwest Fwy Ste 350",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783880",
            "country_code": "US",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DUNG",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TX",
            "license": "N3993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.