DR. JENNIFER LEE PHAM M.D.
NPI 1245527043
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI

Q: What is Jennifer Pham's NPI number?

The NPI number for Jennifer Pham is 1245527043. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Jennifer Pham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Pham was last updated on July 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 30, 2011PECOS Enrolled

9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3360(414) 266-3563 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2018, Jul 5, 2018 (2 updates tracked since 2018).

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About Dr. Jennifer Lee Pham M.d. NPPES

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

DR. JENNIFER LEE PHAM M.D. (NPI 1245527043) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (69153) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1245527043

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JENNIFER LEE PHAMCredential: M.D.

Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3360 · Fax (414) 266-3563

Phone(414) 266-3360

Fax(414) 266-3563

Sole ProprietorNo

Enumeration DateJune 30, 2011

Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration

✔ NPI 1245527043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in WI · 69153

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 6601 (NE)

9000 W WISCONSIN AVE, Milwaukee, WI 53226

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Secondary Practice Location 1

Location 11 Childrens Way # 512-12Little Rock, AR 72202-3500 · Phone (501) 364-1100

Other Identifiers 1

Medicaid1245527043WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)