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DR. CHINH QUOC PHAM M.D.
NPI 1619148715
Family Medicine in Sugar Land, TX

Active since March 17, 2008PECOS EnrolledAccepts Medicare Assignment
7715 TIBURON TRL, SUGAR LAND, TX 77479(832) 453-1343 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 7, 2022, Aug 17, 2022 (2 updates tracked since 2022).

About Dr. Chinh Quoc Pham M.d. NPPES

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

DR. CHINH QUOC PHAM M.D. (NPI 1619148715) is an individual family medicine provider in Sugar Land, Texas, licensed in Texas (N1418) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1619148715
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHINH QUOC PHAMCredential: M.D.
Location Address7715 TIBURON TRLSugar Land, TX 77479-6157
Mailing Address7715 Tiburon TrlSugar Land, TX 77479-6157 · (832) 453-1343
Phone(832) 453-1343
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 17, 2008
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1619148715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · N1418✔ Licensed in WA · MD00049216
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License N1418 (TX)
7715 TIBURON TRL, Sugar Land, TX 77479
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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 and accepts Medicare assignment

Dr. Chinh Quoc 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 ID1052489085
PECOS Enrollment IDI20091103000511
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 Chinh Pham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sugarland Emergency Physicians PA
4.3 mi
Emergency Medicine
16000 SOUTHWEST FWY STE 100
Sugar Land, TX 77479
  • Reassigned Medicare billing, Texas enrollment
  • 32 clinicians in this Medicare group
NPI 1417178120 (281) 980-4357
Luminance Health And Beauty PLLC
6.2 mi
Family Medicine
4502 RIVERSTONE BLVD STE 605
Missouri City, TX 77459
  • Reassigned Medicare billing, Texas enrollment
NPI 1750917209 (281) 942-6226
N & P Healthone LLC
29 mi
Urgent Care
12921 MISTY WILLOW DR
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1982374823 (832) 993-6374
Emergency Medicine Services Of Tx, PLLC
175 mi
Emergency Medicine
7700 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 1,452 clinicians in this Medicare group
NPI 1245938729 (210) 575-4000
Elite Hospital Partners, PLLC
251 mi
Emergency Medicine
1114 SPENCER ST
Allen, TX 75013
  • Reassigned Medicare billing, Texas enrollment
  • 128 clinicians in this Medicare group
NPI 1609625995 (972) 786-3602
Small Hospital Innovations LLC
919 mi
Emergency Medicine
524 W SAGAMORE AVE
Clewiston, FL 33440
  • Reassigned Medicare billing, Texas enrollment
  • 123 clinicians in this Medicare group
NPI 1184040560 (305) 204-9318

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services22 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 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.
17 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph Medical Center

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number450035
Location1401 St. Joseph ParkwayHouston, TX 77002 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450097
Location4000 Spencer HwyPasadena, TX 77504 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670106
Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County
Emergency services

St Michaels Medical Hospital LLC

Acute Care Hospitals · Sugar Land, TX
OwnershipProprietary
CMS Certification Number670314
Location16000 Southwest Freeway, Suite 100Sugar Land, TX 77479 · Fort Bend County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Chinh Pham's NPI number?

The NPI number for Chinh Pham is 1619148715. It was assigned to this individual provider in the NPPES registry on March 17, 2008.

Where is Chinh Pham located?

Chinh Pham practices at 7715 Tiburon Trl, Sugar Land, TX 77479. The listed phone number is (832) 453-1343.

What is Chinh Pham's specialty?

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

Is Chinh Pham enrolled in Medicare?

Yes. Chinh 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 Chinh Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chinh Pham reassigns Medicare benefits to 6 organizations: Sugarland Emergency Physicians PA (Sugar Land, TX), Luminance Health And Beauty PLLC (Missouri City, TX), N & P Healthone LLC (Houston, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Elite Hospital Partners, PLLC (Allen, TX) 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 Chinh Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chinh 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 4 other insurers list Chinh 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 Chinh Pham affiliated with any hospitals?

According to CMS data, Chinh Pham is affiliated with St Joseph Medical Center, Hca Houston Healthcare Southeast, Hca Houston Healthcare Pearland and St Michaels Medical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Chinh Pham was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.