QUAN DUC MINH PHAM
NPI 1124760608
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Q: What is Quan Pham's NPI number?

The NPI number for Quan Pham is 1124760608. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Quan Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Quan Pham was last updated on June 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 13, 2022PECOS Enrolled

3471 5TH AVE STE 402, PITTSBURGH, PA 15213(412) 692-4528 Get Directions Write a Review

NPPES record last updated: June 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 17, 2023, Apr 13, 2022 (2 updates tracked since 2022).

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About Quan Duc Minh Pham NPPES

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

QUAN DUC MINH PHAM (NPI 1124760608) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1124760608

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameQUAN DUC MINH PHAM

Location Address3471 5TH AVE STE 402Pittsburgh, PA 15213-3221

Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410 · (757) 773-0066

Phone(412) 692-4528

Sole ProprietorYes

Enumeration DateApril 13, 2022

Last NPPES UpdateJune 17, 20232 updates tracked since enumeration

NPPES CertifiedJune 17, 2023

✔ NPI 1124760608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3471 5TH AVE STE 402, Pittsburgh, PA 15213

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Secondary Practice Location 1

Location 11 Medical Center BlvdWinston Salem, NC 27157-0001 · Phone (757) 773-0066

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quan Duc Minh Pham 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.

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.

DR. AMANDA COLE BERNARDI MD

Anesthesiology