NASTASSIA PHAM MD
NPI 1164118246
Student in an Organized Health Care Education/Training Program in Dallas, TX
About Nastassia Pham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NASTASSIA PHAM MD (NPI 1164118246) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nastassia Pham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
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 Nastassia Pham's NPI number?
The NPI number for Nastassia Pham is 1164118246. It was assigned to this individual provider in the NPPES registry on April 12, 2023.
Where is Nastassia Pham located?
Nastassia Pham practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-8485.
What is Nastassia Pham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nastassia Pham enrolled in Medicare?
Yes. Nastassia Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nastassia Pham was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nastassia Pham, MD · NPI 1164118246
Student in an Organized Health Care Education/Training Program provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 12, 2023.
## Identity
- **NPI:** 1164118246 (Entity type: Individual)
- **Enumerated:** April 12, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3500 GASTON AVE, Dallas, TX 75246-2017
- **Phone:** (214) 820-8485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164118246) · Data from the CMS NPPES public registry.