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PHILLIP PHI PHAM MD
NPI 1295478436
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 15, 2022PECOS Enrolled
1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip Phi Pham Md NPPES

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

PHILLIP PHI PHAM MD (NPI 1295478436) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295478436
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHILLIP PHI PHAMCredential: MD
Location Address1120 W MICHIGAN ST # CL630Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan St # Cl630Indianapolis, IN 46202-5209 · (317) 278-2686
Phone(317) 278-2686
Sole ProprietorNo
Enumeration DateApril 15, 2022
NPPES CertifiedApril 15, 2022
✔ NPI 1295478436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1120 W MICHIGAN ST # CL630, Indianapolis, IN 46202
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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 (PECOS)

Phillip Phi Pham Md 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.

MADISON OTT MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
MICHAEL SAM ROSENHECK
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
AARON CRAIG MINER MD
Anesthesiology
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
DR. JEFFREY FREIDENSON MD
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2659
SAIISHITHA NALAMOLU DO
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686
MOHSIN MUKHTAR MD
Radiology (Diagnostic Radiology)
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2689
ERIC CHUNG MD
Anesthesiology
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2689
RUSSELL DYLAN PURPURA MD
Internal Medicine (Pulmonary Disease)
1120 W MICHIGAN ST # CL630
INDIANAPOLIS, IN 46202
Marion County (317) 278-2686

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 Phillip Pham's NPI number?

The NPI number for Phillip Pham is 1295478436. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Phillip Pham located?

Phillip Pham practices at 1120 W Michigan St # Cl630, Indianapolis, IN 46202. The listed phone number is (317) 278-2686.

What is Phillip Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Phillip Pham enrolled in Medicare?

Yes. Phillip Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phillip Pham was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.