THERESA MAI PHAM
NPI 1205514718
Physician Assistant in Cleveland, OH

Q: What is Theresa Pham's NPI number?

The NPI number for Theresa Pham is 1205514718. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Q: What is Theresa 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 Theresa Pham was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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 06, 2023PECOS EnrolledAccepts Medicare Assignment

10900 EUCLID AVE, CLEVELAND, OH 44106(216) 368-0575 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Jul 6, 2023 (2 updates tracked since 2023).

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About Theresa Mai Pham NPPES

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

THERESA MAI PHAM (NPI 1205514718) is an individual physician assistant in Cleveland, Ohio, licensed in Ohio (50.009160RX) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205514718

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA MAI PHAM

Location Address10900 EUCLID AVECleveland, OH 44106-1712

Mailing Address10900 Euclid AveCleveland, OH 44106-1712

Phone(216) 368-0575

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 6, 2023

Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1205514718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.009160RX

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.

10900 EUCLID AVE, Cleveland, OH 44106

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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 and accepts Medicare assignment

Theresa Mai 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 ID5698290195

PECOS Enrollment IDI20250417000324

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.

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

JOSEPH CHARLES MANUEL RN

Registered Nurse (Critical Care Medicine)