TRI MINH PHAM MD
NPI 1548455686
Internal Medicine - Infectious Disease in Lakeland, FL

Active since September 12, 2007PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805(863) 680-7190(866) 264-8519 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri Minh Pham Md NPPES

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

TRI MINH PHAM MD (NPI 1548455686) is an individual infectious disease provider in Lakeland, Florida, licensed in Florida (ME98811) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1548455686
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameTRI MINH PHAMCredential: MD
Location Address1600 LAKELAND HILLS BLVD.Lakeland, FL 33805-3019
Mailing Address1600 Lakeland Hills BlvdLakeland, FL 33805-3019 · (863) 680-7000 · Fax (866) 264-8519
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 12, 2007
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 8, 2020
NPI 1548455686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in FL · ME98811 Licensed in FL · ME988811
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME98811 (FL)
1600 LAKELAND HILLS BLVD., Lakeland, FL 33805

Accepted 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

Tri Minh 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 ID8123170768
PECOS Enrollment IDI20090713000641
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.

Areas of Expertise CMS Part B claims 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,725 services523 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
547 services467 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
428 services50 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
228 services12 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
192 services11 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.
172 services62 patients

Hospital Affiliations CMS Care Compare 4

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Bartow Regional Medical Center

Acute Care Hospitals · Bartow, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100121
Location2200 Osprey BlvdBartow, FL 33831 · Polk County
Emergency services

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100157
Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
5 suppliers31 claims2,420 services$0.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
5 suppliers22 claims2,310 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
5 suppliers29 claims3,511 services$0.37 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
1 supplier15 claims15 services$655.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Internal Medicine (Nephrology)
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Anesthesiology
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805

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 Tri Pham's NPI number?

The NPI number for Tri Pham is 1548455686. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Tri Pham located?

Tri Pham practices at 1600 Lakeland Hills Blvd., Lakeland, FL 33805. The listed phone number is (863) 680-7190.

What is Tri Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Tri Pham enrolled in Medicare?

Yes. Tri 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.

What insurance does Tri Pham accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tri 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 Tri Pham affiliated with any hospitals?

According to CMS data, Tri Pham is affiliated with Winter Haven Hospital, St Josephs Hospital, Bartow Regional Medical Center and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tri Pham was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.