DR. TRACY L. PHAM MD
NPI 1619166147
Pediatrics in San Mateo, CA

Q: What is Tracy Pham's NPI number?

The NPI number for Tracy Pham is 1619166147. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Tracy Pham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Pham was last updated on May 3, 2023. 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.

Active since October 22, 2007PECOS Enrolled

222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2222(650) 573-3772 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Tracy L. Pham Md NPPES

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

DR. TRACY L. PHAM MD (NPI 1619166147) is an individual pediatrics provider in San Mateo, California, licensed in California (A99725) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619166147

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. TRACY L. PHAMCredential: MD

Location Address222 W 39TH AVESan Mateo, CA 94403-4364

Mailing Address222 W 39th AveSan Mateo, CA 94403-4364 · (650) 573-2222 · Fax (650) 573-3772

Phone(650) 573-2222

Fax(650) 573-3772

Sole ProprietorYes

Enumeration DateOctober 22, 2007

Last NPPES UpdateMay 3, 2023

NPPES CertifiedMay 3, 2023

✔ NPI 1619166147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A99725

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

222 W 39TH AVE, San Mateo, CA 94403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy L. Pham Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

DR. LORENA MICHEL PSY.D.

Psychologist (Clinical)