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

Q: 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.

Q: What is Thach Pham's specialty?

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

Q: 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 13 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.

Active since March 10, 2008PECOS EnrolledAccepts Medicare Assignment

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: August 02, 2026.

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

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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 WellSense Health Plan.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

Dr. Thach Pham M.d. 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 ID3274717384

PECOS Enrollment IDI20250708001754

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 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)