KELLY PHAM MD
NPI 1649730557
Psychiatry & Neurology - Psychiatry in Baltimore, MD
About Kelly Pham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY PHAM MD (NPI 1649730557) is an individual psychiatry provider in Baltimore, Maryland, licensed in Maryland (D0090590) and active in the NPI registry since March 2019. She has opted out of Medicare through February 20, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kelly Pham Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 20, 2026 through February 20, 2028.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21204
BALTIMORE, MD 21204
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 Kelly Pham's NPI number?
The NPI number for Kelly Pham is 1649730557. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Kelly Pham located?
Kelly Pham practices at 6501 N Charles St, Baltimore, MD 21204. The listed phone number is (410) 938-3000.
What is Kelly Pham's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kelly Pham enrolled in Medicare?
No. Kelly Pham has opted out of Medicare through February 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kelly Pham accept?
Health plans from Providence Health Plan list Kelly 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 Kelly Pham was last updated on July 15, 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.
# Kelly Pham, MD · NPI 1649730557
Psychiatry physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1649730557 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** D0090590 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 6501 N CHARLES ST, Baltimore, MD 21204-6819
- **Phone:** (410) 938-3000
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 20, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649730557) · Data from the CMS NPPES public registry.