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DR. THACH PHAM M.D.
NPI 1518137223
Surgery in Providence, RI

Active since March 10, 2008PECOS Enrolled
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905(401) 553-8353(401) 868-2308 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 16, 2025, Sep 22, 2022 (2 updates tracked since 2022).

About Dr. Thach Pham M.d. NPPES

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

DR. THACH PHAM M.D. (NPI 1518137223) is an individual surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD20757) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1518137223
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. THACH PHAMCredential: M.D.
Location Address2 DUDLEY ST STE 470Providence, RI 02905-3248
Mailing AddressLandstuhl Regional Medical Center, Unit 33100Apo, AE 09180-3100 · (314) 590-5096
Phone(401) 553-8353
Fax(401) 868-2308
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2006
Enumeration DateMarch 10, 2008
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1518137223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in RI · MD20757✔ Licensed in NH · 16605✔ Licensed in CA · C145443
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 DUDLEY ST STE 470, Providence, RI 02905
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Secondary Practice Location 1

Location 1Landstuhl Regional Medical Center, Unit 33100APO, AE 09180-3100 · Phone (314) 590-5096

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thach Pham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274717384
PECOS Enrollment IDI20250708001754, I20260227002569
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thach Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Surgical Associates, Inc.
Same address
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
NPI 1376589895 (401) 272-1800
Lifespan Physician Group, Inc.
Same address
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1174484216 (401) 272-1800
Lifespan Physician Group Of Massachusetts Inc
23 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009

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

Hospital Affiliations CMS Care Compare 2

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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 20

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

DR. STEPHANIE N LUECKEL M.D.
Surgery (Surgical Critical Care)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0630
LIFESPAN PHYSICIAN GROUP, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. KATHERINE MACCALLUM MD
Surgery (Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8325
AMANDA MCHUGH PA
Physician Assistant
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0638
ABBAS EL SAYED ABBAS MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8320
UNIVERSITY SURGICAL ASSOCIATES, INC.
Surgery
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800
DR. TIMOTHY DAILY MURTHA M.D.
Surgery (Surgical Oncology)
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 421-0245
SAMANTHA LUELLA RONAYNE PA-C
Physician Assistant
2 DUDLEY ST STE 470
PROVIDENCE, RI 02905
Providence County (401) 272-1800

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 Thach Pham's NPI number?

The NPI number for Thach Pham is 1518137223. It was assigned to this individual provider in the NPPES registry on March 10, 2008.

Where is Thach Pham located?

Thach Pham practices at 2 Dudley St Ste 470, Providence, RI 02905. The listed phone number is (401) 553-8353.

What is Thach Pham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thach Pham enrolled in Medicare?

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

Which organizations bill Medicare for Thach Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thach Pham reassigns Medicare benefits to 3 organizations: University Surgical Associates, Inc. (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI) and Lifespan Physician Group Of Massachusetts Inc (Taunton, MA). Each 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 Thach Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thach Pham accept?

Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Thach 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 Thach Pham affiliated with any hospitals?

According to CMS data, Thach Pham is affiliated with Saint Anne's Hospital and Rhode Island Hospital.

When was this NPI record last updated?

The NPPES record for Thach Pham was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.