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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA PHAM DO
NPI 1447053772
Student in an Organized Health Care Education/Training Program in Fishersville, VA

Active since March 31, 2025PECOS Enrolled
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939(540) 932-5595(540) 932-5596 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Mar 31, 2025 (2 updates tracked since 2025).

About Tina Pham Do NPPES

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

TINA PHAM DO (NPI 1447053772) is an individual student in an organized health care education/training program in Fishersville, Virginia, licensed in Virginia (0116042054) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447053772
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTINA PHAMCredential: DO
Location Address78 MEDICAL CENTER DRFishersville, VA 22939-2332
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 332-5168 · Fax (540) 332-5875
Phone(540) 932-5595
Fax(540) 932-5596
Sole ProprietorNo
Enumeration DateMarch 31, 2025
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1447053772 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 VA · 0116042054
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.
78 MEDICAL CENTER DR, Fishersville, VA 22939
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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)

Tina 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.

DR. NATHAN LEE MAUST MD
Emergency Medicine
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-4000
SARAH HA DO
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-5595
LEWIS ALAN SIEGEL M.D.
Internal Medicine (Interventional Cardiology)
78 MEDICAL CENTER DR, HEART & VASCULAR CENTER, 2ND FLR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7080
BARRY HOWARD BLUMENTHAL MD
Psychiatry & Neurology (Psychiatry)
78 MEDICAL CENTER DR, CROSSROADS
FISHERSVILLE, VA 22939
Augusta County (540) 213-2525
ANASTASIA SNELLING D.O.
Hospitalist
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 932-4075
AHEEMA GAZI D.O.
Student in an Organized Health Care Education/Training Program
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 245-7987
LAURA L FITZPATRICK MD
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757
KATHERINE A. BLACK M.D.
Anesthesiology
78 MEDICAL CENTER DR
FISHERSVILLE, VA 22939
Augusta County (540) 332-5757

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 Tina Pham's NPI number?

The NPI number for Tina Pham is 1447053772. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Tina Pham located?

Tina Pham practices at 78 Medical Center Dr, Fishersville, VA 22939. The listed phone number is (540) 932-5595.

What is Tina 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 Tina Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tina Pham was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.