HASAN PHAM
NPI 1396458337
Nurse Practitioner - Acute Care in Fort Worth, TX

Q: What is Hasan Pham's NPI number?

The NPI number for Hasan Pham is 1396458337. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Q: What is Hasan Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Hasan Pham was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 05, 2023PECOS EnrolledAccepts Medicare Assignment

1900 MISTLETOE BLVD, FORT WORTH, TX 76104(817) 338-1300(817) 338-1300 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Jan 5, 2023 (2 updates tracked since 2023).

On this page

About Hasan Pham NPPES

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

HASAN PHAM (NPI 1396458337) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1099375) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396458337

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameHASAN PHAM

Location Address1900 MISTLETOE BLVDFort Worth, TX 76104-4050

Mailing Address1900 Mistletoe BlvdFort Worth, TX 76104-4050 · (682) 557-0111

Phone(817) 338-1300

Fax(817) 338-1300

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 5, 2023

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1396458337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · 1099375

1900 MISTLETOE BLVD, Fort Worth, TX 76104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Hasan 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 ID2466825369

PECOS Enrollment IDI20230223001274

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.

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450135

Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County

Emergency services Birthing friendly

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450779

Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

Other Providers at the Same Location NPPES 12

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

ABDOLREZA SIADATI MD

Neurological Surgery

1900 MISTLETOE BLVD, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

LIANXI FRANK LIAO M.D.

Internal Medicine (Cardiovascular Disease)

1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1300

PHILIP C BECHTEL M.D.

Neurological Surgery

1900 MISTLETOE BLVD, SUITE 200
FORT WORTH, TX 76104

Tarrant County (817) 878-5333

VIJAY G. KALARIA M.D.

Internal Medicine (Interventional Cardiology)

1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1300

SUNILA GEORGE NP

Nurse Practitioner (Acute Care)

1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1300

CLAUDETTE COOK RN, MSN, AGACNP-BC

Nurse Practitioner (Acute Care)

1900 MISTLETOE BLVD
FT WORTH, TX 76104

Tarrant County (817) 338-1300

DENZIL D'SOUZA M.D.

Internal Medicine (Interventional Cardiology)

1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1300

DR. STEVE ALLEN SIMPSON M.D.

Internal Medicine (Interventional Cardiology)

1900 MISTLETOE BLVD, SUITE 100
FORT WORTH, TX 76104

Tarrant County (817) 338-1300

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 Hasan Pham's NPI number?

The NPI number for Hasan Pham is 1396458337. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Hasan Pham located?

Hasan Pham practices at 1900 Mistletoe Blvd, Fort Worth, TX 76104. The listed phone number is (817) 338-1300.

What is Hasan Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Hasan Pham enrolled in Medicare?

Yes. Hasan 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 Hasan Pham accept?

Health plans from Blue Cross and Blue Shield of Texas list Hasan 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 Hasan Pham affiliated with any hospitals?

According to CMS data, Hasan Pham is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Medical City Arlington and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Hasan Pham was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.