DUYEN KIEU PHAM DO
NPI 1134970700
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Q: What is Duyen Pham's NPI number?

The NPI number for Duyen Pham is 1134970700. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Duyen 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 Duyen Pham was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2024PECOS Enrolled

6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 951-7240 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2025, Apr 1, 2024 (2 updates tracked since 2024).

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About Duyen Kieu Pham Do NPPES

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

DUYEN KIEU PHAM DO (NPI 1134970700) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134970700

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDUYEN KIEU PHAMCredential: DO

Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811

Mailing Address6420 Clayton RdSaint Louis, MO 63117-1811 · (508) 769-7415

Phone(314) 951-7240

Sole ProprietorNo

Enumeration DateApril 1, 2024

Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1134970700 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.

6420 CLAYTON RD, Saint Louis, MO 63117

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Duyen Kieu Pham Do 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.

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