DR. NATHAN THIEN PHAM DO - NPI 1396548749 - Student in an Organized Health Care Education/Training Program in Kenner, LA

Q: What is Nathan Pham's NPI number?

The NPI number for Nathan Pham is 1396548749. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Nathan 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 Nathan Pham was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Nathan Thien Pham Do NPPES

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

DR. NATHAN THIEN PHAM DO (NPI 1396548749) is an individual student in an organized health care education/training program in Kenner, Louisiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396548749

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NATHAN THIEN PHAMCredential: DO

Location Address200 W ESPLANADE AVE STE 412Kenner, LA 70065-2475

Mailing Address11421 Melvin PlNew Orleans, LA 70128-5207 · (504) 273-9603

Phone(504) 471-2761

Sole ProprietorNo

Enumeration DateMarch 31, 2025

NPPES CertifiedMarch 31, 2025

✔ NPI 1396548749 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.

200 W ESPLANADE AVE STE 412, Kenner, LA 70065

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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)

Dr. Nathan Thien 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 6

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

ANET KIRKCONNELL MD

Student in an Organized Health Care Education/Training Program