PHAM MEDICAL CLINIC PA
NPI 1427209360
Family Medicine in Houston, TX

Active since October 09, 2008CLIA 45D1093812 · Waiver
12545 BRIAR FOREST DR STE A, HOUSTON, TX 77077(281) 531-5293(281) 759-9175 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2022, Dec 7, 2018 (2 updates tracked since 2018).

About Pham Medical Clinic Pa NPPES

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

PHAM MEDICAL CLINIC PA (NPI 1427209360) is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Bao Thang N Pham, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1427209360
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHAM MEDICAL CLINIC PA
Location Address12545 BRIAR FOREST DR STE AHouston, TX 77077-2900
Mailing Address12545 Briar Forest Dr Ste AHouston, TX 77077-2900 · (281) 531-5293 · Fax (281) 759-9175
Fax(281) 759-9175
Organization SubpartNo
Authorized OfficialBao Thang N PhamMedical Doctor · (281) 531-5293
Enumeration DateOctober 9, 2008
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1427209360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · M1292
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12545 BRIAR FOREST DR STE A, Houston, TX 77077

Other Identifiers 1

OtherM1292TX · Medical License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pham Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pham Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1417098500
12545 BRIAR FOREST DR STE A
Houston, TX 77077
(281) 531-5293
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144612631
1570 S DAIRY ASHFORD RD STE 120
Houston, TX 77077
(281) 531-5293
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1023670544
PO BOX 211699
Eagan, MN 55121
(866) 849-0692
✔ PECOS1,046 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1093812

Pham Medical Clinic, PA · Houston, TX
Active · expires Jan 4, 2027
CLIA Number45D1093812
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2025
Certificate Expiration DateJanuary 4, 2027
Laboratory DirectorBao Thang Pham
Laboratory Phone(281) 531-5293
Laboratory LocationPham Medical Clinic, PA12545 Briar Forest Dr #a, Houston, TX 77077
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pham Medical Clinic PA's NPI number?

The NPI number for Pham Medical Clinic PA is 1427209360. It was assigned to this organization in the NPPES registry on October 9, 2008.

Where is Pham Medical Clinic PA located?

Pham Medical Clinic PA is located at 12545 Briar Forest Dr Ste A, Houston, TX 77077. The listed phone number is (281) 531-5293.

What is Pham Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pham Medical Clinic PA enrolled in Medicare?

Yes. Pham Medical Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pham Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pham Medical Clinic PA, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pham Medical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1093812) is associated with this NPI, valid through January 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pham Medical Clinic PA was last updated on September 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.