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KHANH TRUC PHAM PA-C
NPI 1720508542
Physician Assistant in Cypress, TX

Active since June 22, 2017PECOS Enrolled
11122 CREEKLINE GLEN CT., CYPRESS, TX 77429(832) 533-4163 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Jun 22, 2017 (2 updates tracked since 2017).

About Khanh Truc Pham Pa-c NPPES

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

KHANH TRUC PHAM PA-C (NPI 1720508542) is an individual physician assistant in Cypress, Texas and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720508542
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKHANH TRUC PHAMCredential: PA-C
Location Address11122 CREEKLINE GLEN CT.Cypress, TX 77429
Mailing Address11122 Creekline Glen CtCypress, TX 77429-3675 · (832) 533-4163
Phone(832) 533-4163
Sole ProprietorYes
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1720508542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11122 CREEKLINE GLEN CT., Cypress, TX 77429
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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)

Khanh Truc Pham Pa-c 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 77429 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims55 services$5.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims18 services$1.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Khanh Pham's NPI number?

The NPI number for Khanh Pham is 1720508542. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Khanh Pham located?

Khanh Pham practices at 11122 Creekline Glen Ct., Cypress, TX 77429. The listed phone number is (832) 533-4163.

What is Khanh Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Khanh Pham enrolled in Medicare?

Yes. Khanh Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khanh Pham was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.