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DR. TUAN HOAI PHAM M.D., PHD
NPI 1023080942
Surgery - Pediatric Surgery in Charlotte, NC

Active since February 03, 2006PECOS Enrolled
1718 E 4TH ST STE 807, CHARLOTTE, NC 28204(980) 488-9630(980) 488-9635 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2025, Mar 19, 2025, Nov 8, 2024 and 6 more (9 updates tracked since 2016).

About Dr. Tuan Hoai Pham M.d., Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TUAN HOAI PHAM M.D., PHD (NPI 1023080942) is an individual pediatric surgery provider in Charlotte, North Carolina, licensed in North Carolina (2025-00389) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1023080942
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. TUAN HOAI PHAMCredential: M.D., PHD
Location Address1718 E 4TH ST STE 807Charlotte, NC 28204-3280
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 488-9630
Fax(980) 488-9635
Sole ProprietorNo
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 21, 20259 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1023080942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in NC · 2025-00389✔ Licensed in IN · 01088151A✔ Licensed in AL · MD.44572✔ Licensed in AZ · 41418✔ Licensed in FL · ME107945
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License ME107945 (FL), 01088151A (IN)
1718 E 4TH ST STE 807, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1100 Navarre Pl Ste 5550South Bend, IN 46601-1169 · Phone (574) 647-2550 · Fax (574) 647-1129
Location 2100 Navarre Pl, Ste 5570South Bend, IN 46601-1169 · Phone (574) 647-8610 · Fax (574) 647-8615
Location 31700 Center StMobile, AL 36604-3301 · Phone (251) 415-1000 · Fax (251) 415-1001
Location 43001 W Dr Mlk BlvdTampa, FL 33607-6307 · Phone (813) 554-8384 · Fax (813) 443-8160
Location 51918 Randolph Rd Ste 700Charlotte, NC 28207-1167 · Phone (980) 488-9630 · Fax (980) 488-9635

Other Identifiers 2

Medicaid300069171IN
Medicaid0031991-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tuan Hoai Pham M.d., Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Tuan Pham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Surgery
1718 E 4TH ST STE 307
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1083959282 (704) 333-1259
Baycare Medical Group, Inc.
511 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065
Usa Health Physician Billing Services LLC
523 mi
Obstetrics & Gynecology
1601 CENTER ST
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1013574722 (251) 415-1496
Avera Mckennan
994 mi
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1003389206 (712) 472-5300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA LAMBERT HARRIS PNP
Nurse Practitioner
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (980) 488-9630
ANGELICA VANESSA GLOVER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-5701
APRIL MICHELLE LOZANO MONTILLA PA-C
Physician Assistant
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (980) 488-9630
MISS MARY CATHERINE MEADOWS PA-C
Physician Assistant
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (704) 375-5755
KATELYN ELIZABETH PAYNE PNP
Nurse Practitioner
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (980) 488-9630
STEPHANIE LAUREN RIPKA DNP
Nurse Practitioner
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (980) 488-9630
NOVANT MEDICAL GROUP, INC
Internal Medicine (Hematology)
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (704) 316-3297
HEATHER RENEE NOLAN MD
Surgery (Pediatric Surgery)
1718 E 4TH ST STE 807
CHARLOTTE, NC 28204
Mecklenburg County (980) 488-9630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tuan Pham's NPI number?

The NPI number for Tuan Pham is 1023080942. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Tuan Pham located?

Tuan Pham practices at 1718 E 4th St Ste 807, Charlotte, NC 28204. The listed phone number is (980) 488-9630.

What is Tuan Pham's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Tuan Pham enrolled in Medicare?

Yes. Tuan Pham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tuan Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tuan Pham reassigns Medicare benefits to 4 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Baycare Medical Group, Inc. (Clearwater, FL), Usa Health Physician Billing Services LLC (Mobile, AL) and Avera Mckennan (Rock Rapids, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tuan Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tuan Pham accept?

Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Plan, Inc. list Tuan Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tuan Pham was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.