PETER MINH PHAM DO
NPI 1356043954
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Peter Pham's NPI number?

The NPI number for Peter Pham is 1356043954. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Peter Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Pham was last updated on June 10, 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.

Active since March 20, 2023PECOS Enrolled

1400 8TH AVE, FORT WORTH, TX 76104(817) 922-4587 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Mar 20, 2023 (2 updates tracked since 2023).

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About Peter Minh Pham Do NPPES

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

PETER MINH PHAM DO (NPI 1356043954) is an individual student in an organized health care education/training program in Fort Worth, Texas, licensed in Texas (BP10084216) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1356043954

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePETER MINH PHAMCredential: DO

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address1400 8th AveFort Worth, TX 76104-4110

Phone(817) 922-4587

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1356043954 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

License✔ Licensed in TX · BP10084216

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.

1400 8TH AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 13901 W 15th StPlano, TX 75075-7738 · Phone (817) 347-1141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Minh Pham Do 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.

JOEY MAYOR MD

Emergency Medicine