ETHAN PHAM
NPI 1144954488
Physician Assistant in Tempe, AZ

Q: What is Ethan Pham's NPI number?

The NPI number for Ethan Pham is 1144954488. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Q: What is Ethan Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Pham was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 12, 2022PECOS EnrolledAccepts Medicare Assignment

1030 E GUADALUPE RD, TEMPE, AZ 85283(480) 491-1898 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Nov 22, 2023, Oct 24, 2023 and 2 more (5 updates tracked since 2022).

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About Ethan Pham NPPES

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

ETHAN PHAM (NPI 1144954488) is an individual physician assistant in Tempe, Arizona and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144954488

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameETHAN PHAM

Location Address1030 E GUADALUPE RDTempe, AZ 85283-3044

Mailing Address2722 N 7th St Unit 8Phoenix, AZ 85006-1067 · (714) 908-6037

Phone(480) 491-1898

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 12, 2022

Last NPPES UpdateDecember 8, 20235 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1144954488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

1030 E GUADALUPE RD, Tempe, AZ 85283

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan 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 ID5092165753

PECOS Enrollment IDI20231221002630

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85283 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 8

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

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