DR. THOMAS ANH PHAM MD
NPI 1225088842
Pediatrics in Broomfield, CO

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
1420 W MIDWAY BLVD, BROOMFIELD, CO 80020(303) 466-1866(303) 466-4081 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2025, Sep 11, 2025, Aug 28, 2021 (3 updates tracked since 2021).

About Dr. Thomas Anh Pham Md NPPES

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

DR. THOMAS ANH PHAM MD (NPI 1225088842) is an individual pediatrics provider in Broomfield, Colorado, licensed in Colorado (DR.0053133) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2001).

NPPES Registry Identity

NPI1225088842
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS ANH PHAMCredential: MD
Location Address1420 W MIDWAY BLVDBroomfield, CO 80020-2090
Mailing Address1420 W Midway BlvdBroomfield, CO 80020-2090 · (303) 466-4081 · Fax (303) 466-1866
Fax(303) 466-4081
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2001
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1225088842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CO · DR.0053133
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1420 W MIDWAY BLVD, Broomfield, CO 80020

Other Identifiers 2

Medicaid27727238CO
Medicaid207240201MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Anh Pham Md 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 ID547299273
PECOS Enrollment IDI20181203000889
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

2

Medicare enrollment records show Thomas Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1420 W MIDWAY BLVD
Broomfield, CO 80020
  • Reassigned Medicare billing, Colorado enrollment
  • 6 clinicians in this Medicare group
Primary Care
13648 ORCHARD PKWY UNIT 900
Westminster, CO 80023
  • Reassigned Medicare billing, Colorado enrollment
  • 9 clinicians in this Medicare group

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 3

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.
46 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80020 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims12 services$1.13 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 16

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

Family Medicine
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Family Medicine
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Family Medicine (Hospice and Palliative Medicine)
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Physician Assistant
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Physical Therapist
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Physician Assistant (Medical)
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Family Medicine (Adult Medicine)
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020
Physician Assistant (Medical)
1420 W MIDWAY BLVD
BROOMFIELD, CO 80020

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 Thomas Pham's NPI number?

The NPI number for Thomas Pham is 1225088842. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Thomas Pham located?

Thomas Pham practices at 1420 W Midway Blvd, Broomfield, CO 80020. The listed phone number is (303) 466-1866.

What is Thomas Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Pham enrolled in Medicare?

Yes. Thomas Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Pham reassigns Medicare benefits to 2 organizations: Northern Medical Associates (Broomfield, CO) and Pinnacle Pediatrics And Internal Medicine Professional LLC (Westminster, CO). 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 Thomas Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Pham accept?

Health plans from Select Health list Thomas Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Pham was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.