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DR. TRI HUU PHAM DDS
NPI 1558597963
Dentist - Oral and Maxillofacial Surgery in Fort Worth, TX

Active since June 01, 2009PECOS Enrolled
6426 MEADOWBROOK DR, FORT WORTH, TX 76112(817) 496-2343 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2024, Jul 30, 2019, Oct 9, 2018 (3 updates tracked since 2018).

About Dr. Tri Huu Pham Dds NPPES

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

DR. TRI HUU PHAM DDS (NPI 1558597963) is an individual oral and maxillofacial surgery provider in Fort Worth, Texas, licensed in Texas (24570) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558597963
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TRI HUU PHAMCredential: DDS
Location Address6426 MEADOWBROOK DRFort Worth, TX 76112-5123
Mailing Address6426 Meadowbrook DrFort Worth, TX 76112-5123 · (181) 749-6234
Phone(817) 496-2343
Sole ProprietorNo
Enumeration DateJune 1, 2009
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1558597963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 24570
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 24570 (TX)
6426 MEADOWBROOK DR, Fort Worth, TX 76112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Tri Huu Pham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Tri Huu Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affordable Dentist Near Me PLLC
Same address
Dental
6426 MEADOWBROOK DR
Fort Worth, TX 76112
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1770952814 (817) 496-2343
Affordable Dentist Near Me In Waco PLLC
82 mi
Dental
4573 LAKE SHORE DR
Waco, TX 76710
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1760842587 (817) 656-1215

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76112 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 14

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

DR. JEUNG CHO DMD
Dentist (General Practice)
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343
GREAT EXPRESSION SMILES
Preferred Provider Organization
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343
TRINH DINH DDS
Dentist
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 953-3206
MS. CHRISTINE TRAM NGUYEN DDS
Dentist
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343
ABC 123 DENTAL CENTERS PROFESSIONAL
Dentist (General Practice)
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343
DR. CYNTHIA SIN-AE KWON DDS
Dentist
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (469) 386-7211
PETER VO DDS
Dentist
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343
GREAT EXPRESSION SMILES
Preferred Provider Organization
6426 MEADOWBROOK DR
FORT WORTH, TX 76112
Tarrant County (817) 496-2343

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 Huu Pham's NPI number?

The NPI number for Tri Huu Pham is 1558597963. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Where is Tri Huu Pham located?

Tri Huu Pham practices at 6426 Meadowbrook Dr, Fort Worth, TX 76112. The listed phone number is (817) 496-2343.

What is Tri Huu Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tri Huu Pham enrolled in Medicare?

Yes. Tri Huu Pham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tri Huu Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tri Huu Pham reassigns Medicare benefits to 2 organizations: Affordable Dentist Near Me PLLC (Fort Worth, TX) and Affordable Dentist Near Me In Waco PLLC (Waco, TX). 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 Tri Huu Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tri Huu Pham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 25 other insurers list Tri Huu 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.

When was this NPI record last updated?

The NPPES record for Tri Huu Pham was last updated on April 29, 2024. 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.