1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Physician Assistant
  6. NPI Profile

THIEN DAN PHAT PHAM
NPI 1528795622
Physician Assistant - Medical in Albuquerque, NM

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107(505) 266-5565 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2024, Aug 21, 2024, Jul 24, 2024 and 1 more (4 updates tracked since 2022).

About Thien Dan Phat Pham NPPES

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

THIEN DAN PHAT PHAM (NPI 1528795622) is an individual medical provider in Albuquerque, New Mexico and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1528795622
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHIEN DAN PHAT PHAM
Location Address1500 N RENAISSANCE BLVD NE STE CAlbuquerque, NM 87107-7002
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 266-5565
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 8, 2022
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1528795622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2024-0083 (NM)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1500 N RENAISSANCE BLVD NE STE C, Albuquerque, NM 87107
Open in Google Maps ↗

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

Thien Dan Phat Pham 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 ID6406385582
PECOS Enrollment IDI20250121000007
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

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

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.

CHRISTIAN SALAZAR
Physician Assistant
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
MILLIE ANN ZACHARIAH
Physician Assistant
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
ANGELICA E POUND-ESPERICUETA PA-C
Physician Assistant
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
EZEQUIEL CHAVEZ
Orthopaedic Surgery
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
ERHIGA EKHAMA
Student in an Organized Health Care Education/Training Program
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
BIRTI KAUR SINGH
Physician Assistant
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
SONYA MICHELLE LOPEZ PA-S
Student in an Organized Health Care Education/Training Program
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565
MEGHAN REEVES
Physician Assistant
1500 N RENAISSANCE BLVD NE STE C
ALBUQUERQUE, NM 87107
Bernalillo County (505) 266-5565

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 Thien Dan Pham's NPI number?

The NPI number for Thien Dan Pham is 1528795622. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Thien Dan Pham located?

Thien Dan Pham practices at 1500 N Renaissance Blvd NE Ste C, Albuquerque, NM 87107. The listed phone number is (505) 266-5565.

What is Thien Dan Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thien Dan Pham enrolled in Medicare?

Yes. Thien Dan Pham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Thien Dan Pham affiliated with any hospitals?

According to CMS data, Thien Dan Pham is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Thien Dan Pham was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.