Individual provider Active NPI

Anh K Pham, M.D.

  • Dermatology Physician
  • Hampton, VA
National Provider Identifier
1932582467
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101269065 Issued in VA
Practice address
2240 Coliseum Dr Ste D
Hampton, VA 23666-5903
Phone
(888) 321-7170
NPI assigned
Jul 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 0101269065 VA
Dermatology Physician 207N00000X 0101269065 VA Primary

Addresses

Primary practice location

2240 Coliseum Dr Ste D
Hampton, VA 23666-5903

Mailing address

1706 Todds LN # 310
Hampton, VA 23666-3123
Phone (888) 321-7170

Other names 1

  • Dr. Khoa Pham Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, 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
I20190829002973 IL Practitioner - Dermatology 6406146067 Reassigns benefits to 1 organization
I20200515001025 VA Practitioner - DermatologyPractitioner - Pathology 6406146067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Geisel School of Medicine at Dartmouth, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cutisco LLCGroup PAC ID 3577083930, 2 clinicians

Practice addresses (Care Compare)

2240 Coliseum Dr
Suite D
Hampton, VA 23666-5903
Phone (888) 321-7170

Hospital & facility affiliations

  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of tissue1-10
Removal of skin lesions327
Removal of skin cancer32
Removal or shaving of skin growth14
Skin biopsy223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101269065VAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jul 31, 2019 Accepting new patients
Cutisco LLC Dermatology CurrentSince Jan 1, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Jul 31, 2019 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1706 Todds Ln
Hampton, VA 23666
Phone (757) 715-5263

Interoperability endpoints

  • Direct secure messaging: apham179781@uchospital.direct-ci.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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1932582467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TODDS LN # 310",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663123",
            "telephone_number": "888-321-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 COLISEUM DR STE D",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665903",
            "telephone_number": "888-321-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "VA",
            "license": "0101269065",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101269065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHOA",
            "last_name": "PHAM",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.