Active NPI
Anh K Pham, M.D.
- Dermatology Physician
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101269065
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Geisel School of Medicine at Dartmouth, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 Coliseum Dr
Suite D
Hampton, VA 23666-5903
Phone (888) 321-7170
Hospital & facility affiliations
- Riverside Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 55 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 327 |
| Removal of skin cancer | 32 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101269065 | VA | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Cutisco LLC | Dermatology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | 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
- 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.
-
- Dermatology Physician
- Hampton, VA
- NPI 1427873736
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.