Individual provider Active NPI

Hang Thanh Thi Pham, M.D.

  • Ophthalmology Physician
  • Beachwood, OH
National Provider Identifier
1972920296
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35133143 Issued in OH
Practice address
24075 Commerce Park
Beachwood, OH 44122-5846
Phone
(216) 831-5700
Fax
(216) 831-1959
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 51196 KY
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 35133143 OH Primary

Addresses

Primary practice location

24075 Commerce Park
Beachwood, OH 44122-5846

Mailing address

24075 Commerce Park
Beachwood, OH 44122-5846
Phone (216) 831-5700

Other identifiers 1

IdentifierTypeStateIssuer
0277051MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180529001911 OH Practitioner - Ophthalmology 4385946623 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Cleveland, Inc.Group PAC ID 2769463785, 19 clinicians

Practice addresses (Care Compare)

24075 Commerce Park
Beachwood, OH 44122-5846
Phone (216) 831-5700

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35133143OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Cleveland, Inc. Ophthalmology CurrentSince Aug 24, 2020 Accepting new patients
Cei Physicians PSC LLC Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Jan 1, 2019 Accepting new patients
The Retina Group of Northeast Ohio Inc Ophthalmology PastSince Nov 7, 1994 Accepting new patients
Retina Associates of Cleveland Past Accepting new patients

Locations

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

24075 Commerce Park
Beachwood, OH 44122
Phone (216) 831-5700

1945 Cei Dr
Blue Ash, OH 45242

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

6100 S Broadway
Ste 200
Lorain, OH 44053

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

3591 Reserve Commons Dr
Ste 101
Medina, OH 44256
Phone (330) 434-1185

9485 Mentor Ave
Ste 110
Mentor, OH 44060
Phone (440) 204-4444

15299 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 663-0022

170 North Rd NE
Warren, OH 44483
Phone (330) 856-2238

5390 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8777

10 Dutton Dr
Youngstown, OH 44502
Phone (330) 746-7691

Interoperability endpoints

  • Direct secure messaging: hang.pham.p1@direct.eyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1972920296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24075 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225846",
            "telephone_number": "216-831-5700",
            "fax_number": "216-831-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24075 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225846",
            "telephone_number": "216-831-5700",
            "fax_number": "216-831-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HANG",
        "middle_name": "THANH THI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "51196",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35133143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0277051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.