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NGOC H PHAM MD
NPI 1538696398
Family Medicine in Seattle, WA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
1401 MADISON ST STE 100, SEATTLE, WA 98104(206) 386-6111(206) 386-6113 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2021, Sep 18, 2020, May 11, 2017 (3 updates tracked since 2017).

About Ngoc H Pham Md NPPES

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

NGOC H PHAM MD (NPI 1538696398) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD61063150) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538696398
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNGOC H PHAMCredential: MD
Location Address1401 MADISON ST STE 100Seattle, WA 98104-1316
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 386-6111
Fax(206) 386-6113
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 11, 2017
Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1538696398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD61063150
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.
1401 MADISON ST STE 100, Seattle, WA 98104
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Other Identifiers 1

Medicaid1538696398WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence 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 and accepts Medicare assignment

Ngoc H Pham Md 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 ID8325465735
PECOS Enrollment IDI20200831002878, I20240906004077
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

6

Medicare enrollment records show Ngoc Pham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Health Services
0.5 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700
Swedish Health Services
0.6 mi
Family Medicine
550 16TH AVE, SUITE 100
Seattle, WA 98122
  • Reassigned Medicare billing, Washington enrollment
  • 52 clinicians in this Medicare group
NPI 1720033145 (206) 320-2484
Grant County Public Hospital District 3
132 mi
Emergency Medical Services
200 NAT WASHINGTON WAY
Ephrata, WA 98823
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Grant County Public Hospital District No. 3
  • 144 clinicians in this Medicare group
NPI 1134283930 (509) 754-4631
Southeast Alaska Regional Health Consortium
665 mi
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1518403906 (907) 874-4700
City Of Valdez
1,333 mi
Critical Access Hospital
911 MEALS AVENUE
Valdez, AK 99686
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1750485488 (Alaska)
  • 38 clinicians in this Medicare group
NPI 1427424282 (907) 835-2249
Providence Health & Services Washington
1,429 mi
Emergency Medical Services
1915 E REZANOF DR
Kodiak, AK 99615
  • Reassigned Medicare billing, Alaska enrollment
  • Also billed through NPI 1013905660 (Alaska)
  • 73 clinicians in this Medicare group
NPI 1952430902 (907) 486-3281

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services13 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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.

HELINA WEN GAN MD
Student in an Organized Health Care Education/Training Program
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6197
NICOLE CHRISTINE JANSSEN MD
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111
ERICA C FOSTER MD
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6197
JONATHAN B. WULF PSYD
Psychologist (Clinical)
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111
JASMINE ELISE ABRAHAM MD
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111
SARAH M BABINEAU MD
Family Medicine (Geriatric Medicine)
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111
KACY J HERRON MD
Family Medicine
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111
ANGELA ASHOK PATEL MD
Student in an Organized Health Care Education/Training Program
1401 MADISON ST STE 100
SEATTLE, WA 98104
King County (206) 386-6111

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 Ngoc Pham's NPI number?

The NPI number for Ngoc Pham is 1538696398. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Ngoc Pham located?

Ngoc Pham practices at 1401 Madison St Ste 100, Seattle, WA 98104. The listed phone number is (206) 386-6111.

What is Ngoc Pham's specialty?

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

Is Ngoc Pham enrolled in Medicare?

Yes. Ngoc 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.

Which organizations bill Medicare for Ngoc Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ngoc Pham reassigns Medicare benefits to 6 organizations: Swedish Health Services (Seattle, WA), Swedish Health Services (Seattle, WA), Grant County Public Hospital District 3 (Ephrata, WA), Southeast Alaska Regional Health Consortium (Edna Bay, AK), City Of Valdez (Valdez, AK) and 1 more organization, listed in the Medicare section above. 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 Ngoc Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ngoc Pham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ngoc 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 Ngoc Pham affiliated with any hospitals?

According to CMS data, Ngoc Pham is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Ngoc Pham was last updated on November 10, 2021. 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.