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DR. LUU VAN PHAM M.D.
NPI 1205037256
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since May 29, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
5501 HOPKINS BAYVIEW CIR, 4TH FLOOR, BALTIMORE, MD 21224(410) 550-2304 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 31, 2016, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Luu Van Pham M.d. NPPES

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

DR. LUU VAN PHAM M.D. (NPI 1205037256) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D75884) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of University Of Virginia School Of Medicine (2007).

NPPES Registry Identity

NPI1205037256
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. LUU VAN PHAMCredential: M.D.
Location Address5501 HOPKINS BAYVIEW CIR, 4TH FLOORBaltimore, MD 21224-6821
Mailing AddressPo Box 64264Baltimore, MD 21264-4264
Phone(410) 550-2304
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007
Enumeration DateMay 29, 2007
Last NPPES UpdateOctober 31, 20162 updates tracked since enumeration
✔ NPI 1205037256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D75884
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5501 HOPKINS BAYVIEW CIR, Baltimore, MD 21224
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luu Van Pham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264662733
PECOS Enrollment IDI20160801000111, I20210907003050
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 Reassignments

3

Medicare enrollment records show Luu Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
0.1 mi
Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Also billed through NPI 1689162034 (Maryland)
  • 4,483 clinicians in this Medicare group
NPI 1306810619 (410) 550-3362
Johns Hopkins University
2.3 mi
Pulmonary Disease
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 8 clinicians in this Medicare group
NPI 1831186808 (410) 558-5238
Johns Hopkins University
2.3 mi
Sleep Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 5 clinicians in this Medicare group
NPI 1871080721 (410) 955-5000

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

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services85 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
44 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services19 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers134 claims134 services$34.75 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers11 claims11 services$85.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers67 claims328 services$16.97 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers60 claims316 services$12.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers169 claims169 services$47.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
10 suppliers95 claims95 services$15.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. ROBERT GORDON HAMILTON PH.D.
Specialist/Technologist, Pathology (Immunology)
5501 HOPKINS BAYVIEW CIR, ROOM 1A20, JH ASTHMA ALLERGY CENTER
BALTIMORE, MD 21224
Baltimore City (410) 550-2031
DR. JHENEALE R GRANDISON DNP
Nurse Practitioner (Adult Health)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Baltimore City (410) 550-7715
GEORGE A RICAURTE JR. M.D.
Psychiatry & Neurology (Neurology)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Baltimore City (410) 550-5624
MICHELLE NUTTALL EAKIN PH.D.
Psychologist (Clinical)
5501 HOPKINS BAYVIEW CIR, ROOM 4B.74
BALTIMORE, MD 21224
Baltimore City (410) 550-0487
RICHARD G BENNETT M.D.
Internal Medicine
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Baltimore City (410) 550-0925
VICTORIA WOTORSON CRNP
Nurse Practitioner (Family)
5501 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Baltimore City (410) 550-5864
VENKATARAMANA SIDHAYE M.D.
Internal Medicine (Pulmonary Disease)
5501 HOPKINS BAYVIEW CIR, ASTHMA AND ALLERGY BUILDING 4TH FLOOR
BALTIMORE, MD 21224
Baltimore City (410) 550-4893
DR. PHILIP SEO MD, MHS
Internal Medicine (Rheumatology)
5501 HOPKINS BAYVIEW CIR, JHAAC ROOM 1B.1A
BALTIMORE, MD 21224
Baltimore City (410) 550-6813

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 Luu Pham's NPI number?

The NPI number for Luu Pham is 1205037256. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Luu Pham located?

Luu Pham practices at 5501 Hopkins Bayview Cir 4th Floor, Baltimore, MD 21224. The listed phone number is (410) 550-2304.

What is Luu Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Luu Pham enrolled in Medicare?

Yes. Luu Pham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luu Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luu Pham reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each 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 Luu Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Luu Pham affiliated with any hospitals?

According to CMS data, Luu Pham is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Luu Pham was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.