NATHAN HUBERT PHAM MD
NPI 1720582539
Internal Medicine - Gastroenterology in San Leandro, CA

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
2500 MERCED ST, SAN LEANDRO, CA 94577(510) 591-3592 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 5, 2021, Jul 23, 2018, Mar 19, 2018 (3 updates tracked since 2018).

About Nathan Hubert Pham Md NPPES

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

NATHAN HUBERT PHAM MD (NPI 1720582539) is an individual gastroenterology provider in San Leandro, California, licensed in California (A195777) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720582539
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNATHAN HUBERT PHAMCredential: MD
Location Address2500 MERCED STSan Leandro, CA 94577-4201
Mailing Address38777 Rosegate TerFremont, CA 94536-4293 · (408) 472-4272
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1720582539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A195777
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 275556 (MA)
2500 MERCED ST, San Leandro, CA 94577

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

Nathan Hubert Pham Md 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 ID3476802703
PECOS Enrollment IDI20240827000985
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 94577 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
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.

Anesthesiology
2500 MERCED ST
SAN LEANDRO, CA 94577
Registered Nurse
2500 MERCED ST
SAN LEANDRO, CA 94577
Nurse Practitioner
2500 MERCED ST
SAN LEANDRO, CA 94577
Pharmacist
2500 MERCED ST
SAN LEANDRO, CA 94577
Radiology (Diagnostic Radiology)
2500 MERCED ST
SAN LEANDRO, CA 94577
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Advanced Practice Midwife
2500 MERCED ST
SAN LEANDRO, CA 94577
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577

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 Nathan Pham's NPI number?

The NPI number for Nathan Pham is 1720582539. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Nathan Pham located?

Nathan Pham practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 591-3592.

What is Nathan Pham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nathan Pham enrolled in Medicare?

Yes. Nathan 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.

When was this NPI record last updated?

The NPPES record for Nathan Pham was last updated on August 26, 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.