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DANH C PHAM M.D.
NPI 1619312378
Internal Medicine - Hematology & Oncology in Hershey, PA

Active since May 07, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(717) 531-8024(717) 531-0882 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Sep 14, 2019, Aug 26, 2016 (3 updates tracked since 2016).

About Danh C Pham M.d. NPPES

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

DANH C PHAM M.D. (NPI 1619312378) is an individual hematology & oncology provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD476057) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1619312378
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDANH C PHAMCredential: M.D.
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing Address500 University Dr Mc Ca410Hershey, PA 17033-2360 · (717) 531-5208 · Fax (717) 531-0119
Phone(717) 531-8024
Fax(717) 531-0882
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2013
Enumeration DateMay 7, 2013
Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1619312378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in PA · MD476057✔ Licensed in KY · 49355✔ Licensed in WV · 26511
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
500 UNIVERSITY DR, Hershey, PA 17033
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Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506-1200 · Phone (304) 598-4500 · Fax (304) 598-4560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Danh C 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 ID2264734854
PECOS Enrollment IDI20211229000436
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
55 services15 patients
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.
23 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

MR. DANIEL MICHAEL WEISS I PA-C
Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-7299
NICOLE SWALLOW M.D.
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Dauphin County (717) 531-1692
NEERAV GOYAL M.D.
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KARIMA C FITZGERALD M.D.
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8887
DR. ANTHONY SIMON BONAVIA M.D.
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Dauphin County (717) 531-8521
DR. HIROKO SHIKE MD
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Dauphin County (717) 531-8615
MARIUM TARIQ M.D.
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (717) 531-8521
KANTHI BANGALORE KRISHNA MBBS
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033
Dauphin County (800) 243-1455

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 Danh Pham's NPI number?

The NPI number for Danh Pham is 1619312378. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Danh Pham located?

Danh Pham practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (717) 531-8024.

What is Danh Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Danh Pham enrolled in Medicare?

Yes. Danh 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 Danh Pham accept?

Health plans from CareSource list Danh 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 Danh Pham affiliated with any hospitals?

According to CMS data, Danh Pham is affiliated with Penn State Health Holy Spirit Medical Center, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Danh Pham was last updated on December 12, 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.