THU QUYNH PHAM
NPI 1093126922
Family Medicine in Chicago, IL

Q: What is Thu Pham's NPI number?

The NPI number for Thu Pham is 1093126922. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Q: What is Thu Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thu Pham was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment

2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-3300(773) 665-3228 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Thu Quynh Pham NPPES

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

THU QUYNH PHAM (NPI 1093126922) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125065947) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2014).

NPPES Registry Identity

NPI1093126922

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTHU QUYNH PHAM

Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640

Mailing Address2900 N Lake Shore DrChicago, IL 60657-5640 · (773) 665-3000

Phone(773) 665-3300

Fax(773) 665-3228

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2014

Enumeration DateMay 14, 2014

Last NPPES UpdateDecember 16, 2021

✔ NPI 1093126922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125065947

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2900 N LAKE SHORE DR, Chicago, IL 60657

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thu Quynh Pham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466750799

PECOS Enrollment IDI20171102002764

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 Reassignment

Medicare enrollment records show Thu Pham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1,795 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MAX JESUS BUSTILLO OROZCO MD

Student in an Organized Health Care Education/Training Program

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3000

ROBERTA LUSKIN-HAWK MD

Internal Medicine (Infectious Disease)

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3261

DR. SANDRA SOLOMON M.D.

Pain Medicine (Interventional Pain Medicine)

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3000

DR. ILANA SCHIFFMAN M.D.

Family Medicine

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3000

NEAL FRANCIS DAVIS-RUPERTO AUD

Audiologist

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3184

SHADI JAFARIAN RD, LDN

Dietitian, Registered

2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657

Cook County (773) 665-3306

AHSANA ANJUM ISLAM DPM

Student in an Organized Health Care Education/Training Program

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-3000

DR. YANIRA LAGOS ESCOTO MD

Internal Medicine

2900 N LAKE SHORE DR
CHICAGO, IL 60657

Cook County (773) 665-6730

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 Thu Pham's NPI number?

The NPI number for Thu Pham is 1093126922. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Thu Pham located?

Thu Pham practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-3300.

What is Thu Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thu Pham enrolled in Medicare?

Yes. Thu Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thu Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thu Pham reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Thu Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thu Pham was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.