Individual provider Active NPI

Tuyet L Pham, D.O.

  • Anesthesiology Physician
  • Omaha, NE
National Provider Identifier
1962844092
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14352 Issued in CA
Practice address
7500 Mercy Rd Ste 1355
Omaha, NE 68124
Phone
(402) 717-4866
Fax
(402) 818-2088
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 1802 NE
Anesthesiology Physician 207L00000X 20A14352 CA Primary

Addresses

Primary practice location

7500 Mercy Rd Ste 1355
Omaha, NE 68124

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Other practice location 1

1000 W Carson St # 461
Torrance, CA 90502-2004
Phone (310) 222-2700

Other practice location 2

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 395-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180707000152 NE Practitioner - Anesthesiology 0345468021 Reassigns benefits to 1 organization
I20200717003148 KS Practitioner - Anesthesiology 0345468021 Reassigns benefits to 1 organization
I20230719002984 CA Practitioner - Anesthesiology 0345468021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hays Medical Center IncGroup PAC ID 1557279676, 188 clinicians

Practice addresses (Care Compare)

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 623-5096

7500 Mercy Rd
Suite 1355
Omaha, NE 68124-2319
Phone (402) 717-4866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1802NEMDMental Health Counselor
20A14352CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Aug 1, 2020 Accepting new patients
Hays Medical Center, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Jun 7, 2023 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Anesthesiology Past Accepting new patients
Hays Medical Center, Inc. Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

1801 Colorado Ave
Turlock, CA 95382
Phone (209) 216-3300

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7500 Mercy Rd
Ste 1355
Omaha, NE 68124
Phone (402) 717-4866

Organizations & group practices 7

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1962844092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 MERCY RD STE 1355",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68124",
            "telephone_number": "402-717-4866",
            "fax_number": "402-818-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St # 461",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-2700",
            "fax_number": "310-533-1841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93301",
            "country_code": "US",
            "telephone_number": "661-395-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TUYET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NE",
            "license": "1802",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.