GINA NHU PHAM
NPI 1245851492
Ophthalmology in Dallas, TX

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
712 N WASHINGTON AVE STE 415, DALLAS, TX 75246(214) 826-7231(214) 826-7984 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gina Nhu Pham NPPES

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

GINA NHU PHAM (NPI 1245851492) is an individual ophthalmology provider in Dallas, Texas, licensed in Texas (V2218) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Baylor College Of Medicine (2020).

NPPES Registry Identity

NPI1245851492
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameGINA NHU PHAM
Location Address712 N WASHINGTON AVE STE 415Dallas, TX 75246-1634
Mailing Address712 N Washington Ave Ste 415Dallas, TX 75246-1634
Fax(214) 826-7984
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2020
Enumeration DateApril 29, 2020
Last NPPES UpdateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1245851492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TX · V2218
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
712 N WASHINGTON AVE STE 415, Dallas, TX 75246

Secondary Practice Location 1

Location 11 Baylor PlzHouston, TX 77030-3411 · Phone (713) 798-0206

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Gina Nhu 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 ID840721304
PECOS Enrollment IDI20241008002344
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 Gina Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
712 N WASHINGTON AVE STE 415
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
Ophthalmology
4100 W 15TH ST, SUITE 210
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 3 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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

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

Clinic/Center (Medical Specialty)
712 N WASHINGTON AVE STE 415
DALLAS, TX 75246

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 Gina Pham's NPI number?

The NPI number for Gina Pham is 1245851492. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Gina Pham located?

Gina Pham practices at 712 N Washington Ave Ste 415, Dallas, TX 75246. The listed phone number is (214) 826-7231.

What is Gina Pham's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gina Pham enrolled in Medicare?

Yes. Gina 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 Gina Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Pham reassigns Medicare benefits to 2 organizations: C. Cordell Adams MD PA (Dallas, TX) and Lewis Jacob Frazee MD PA (Plano, TX). 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 Gina Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Pham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Gina 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 Gina Pham was last updated on September 24, 2024. 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.