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ALISA PHAM DO
NPI 1619555190
Family Medicine in Victoria, TX

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
102 SPRINGWOOD DR, VICTORIA, TX 77904(361) 579-2222(361) 575-5800 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 13, 2026, Jun 26, 2025, Sep 13, 2024 and 1 more (4 updates tracked since 2021).

About Alisa Pham Do NPPES

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

ALISA PHAM DO (NPI 1619555190) is an individual family medicine provider in Victoria, Texas, licensed in Texas (V7275) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619555190
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALISA PHAMCredential: DO
Location Address102 SPRINGWOOD DRVictoria, TX 77904-3501
Mailing Address102 Springwood DrVictoria, TX 77904-3501 · (361) 579-2222 · Fax (361) 575-5800
Phone(361) 579-2222
Fax(361) 575-5800
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1619555190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V7275
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.
102 SPRINGWOOD DR, Victoria, TX 77904
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 Foundation WayMartinsburg, WV 25401-9000 · Phone (304) 264-1000
Location 2501 S Washington AveScranton, PA 18505-3814 · Phone (570) 343-2383

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Alisa Pham Do 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 ID7810383155
PECOS Enrollment IDI20250721002349
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.

Hospital Affiliations CMS Care Compare 2

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

De Tar Hospital Navarro

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450147
Location506 E San Antonio StVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77904 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.

Other Providers at the Same Location NPPES 4

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

BRADEN COLEMAN MD
Family Medicine
102 SPRINGWOOD DR
VICTORIA, TX 77904
Victoria County (361) 576-2222
AMERICAN REGIONAL HEALTH CENTER LLP
Family Medicine
102 SPRINGWOOD DR
VICTORIA, TX 77904
Victoria County (361) 576-2222
MRS. LAURIE LYNN SRUBAR KIENING RN-FNP
Nurse Practitioner (Family)
102 SPRINGWOOD DR
VICTORIA, TX 77904
Victoria County (361) 576-2222
MRS. PAMELA COY WAGNER RN, FNP
Nurse Practitioner (Family)
102 SPRINGWOOD DR
VICTORIA, TX 77904
Victoria County (361) 576-2222

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 Alisa Pham's NPI number?

The NPI number for Alisa Pham is 1619555190. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Alisa Pham located?

Alisa Pham practices at 102 Springwood Dr, Victoria, TX 77904. The listed phone number is (361) 579-2222.

What is Alisa Pham's specialty?

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

Is Alisa Pham enrolled in Medicare?

Yes. Alisa 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 Alisa Pham accept?

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

According to CMS data, Alisa Pham is affiliated with Citizens Medical Center and De Tar Hospital Navarro.

When was this NPI record last updated?

The NPPES record for Alisa Pham was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.