MR. ALBERT QUOC PHAM M.D.
NPI 1245353267
Internal Medicine in Toledo, OH

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment
2142 N COVE BLVD, TOLEDO, OH 43606(419) 291-4000(419) 479-3253 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Sep 5, 2023 (2 updates tracked since 2023).

About Mr. Albert Quoc Pham M.d. NPPES

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

MR. ALBERT QUOC PHAM M.D. (NPI 1245353267) is an individual internal medicine provider in Toledo, Ohio, licensed in Ohio (35094054) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2006).

NPPES Registry Identity

NPI1245353267
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ALBERT QUOC PHAMCredential: M.D.
Location Address2142 N COVE BLVDToledo, OH 43606-3895
Mailing Address100 Madison AveToledo, OH 43604-1516
Fax(419) 479-3253
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2006
Enumeration DateApril 6, 2007
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1245353267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OH · 35094054 Licensed in MI · 4301088105
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2142 N COVE BLVD, Toledo, OH 43606

Accepted 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

Mr. Albert Quoc Pham M.d. 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 ID143366765
PECOS Enrollment IDI20091012000285
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.

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.

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.
476 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services50 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers23 claims23 services$7.24 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.

Pediatrics
2142 N COVE BLVD, 5-NORTH PEDIATRICS
TOLEDO, OH 43606
Hospitalist
2142 N COVE BLVD
TOLEDO, OH 43606
Nurse Anesthetist, Certified Registered
2142 N COVE BLVD
TOLEDO, OH 43606
Emergency Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Pharmacy Technician
2142 N COVE BLVD
TOLEDO, OH 43606
Internal Medicine
2142 N COVE BLVD
TOLEDO, OH 43606
Nurse Practitioner
2142 N COVE BLVD
TOLEDO, OH 43606
Durable Medical Equipment & Medical Supplies
2142 N COVE BLVD, SUITE 100
TOLEDO, OH 43606

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 Albert Pham's NPI number?

The NPI number for Albert Pham is 1245353267. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Albert Pham located?

Albert Pham practices at 2142 N Cove Blvd, Toledo, OH 43606. The listed phone number is (419) 291-4000.

What is Albert Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Albert Pham enrolled in Medicare?

Yes. Albert 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.

What insurance does Albert Pham accept?

Health plans from Blue Care Network of Michigan and CareSource list Albert 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.

Is Albert Pham affiliated with any hospitals?

According to CMS data, Albert Pham is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Albert Pham was last updated on November 3, 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.