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TRACY DIEM TRANG PHAM MD
NPI 1740084847
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 01, 2025PECOS Enrolled
5841 S MARYLAND AVE # 5068, CHICAGO, IL 60637(773) 702-9500(773) 702-3135 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Diem Trang Pham Md NPPES

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

TRACY DIEM TRANG PHAM MD (NPI 1740084847) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740084847
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTRACY DIEM TRANG PHAMCredential: MD
Location Address5841 S MARYLAND AVE # 5068Chicago, IL 60637-1443
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-9500
Fax(773) 702-3135
Sole ProprietorYes
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1740084847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5841 S MARYLAND AVE # 5068, Chicago, IL 60637
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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)

Tracy Diem Trang Pham Md 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.

Other Providers at the Same Location NPPES 12

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

ORETUNLEWA SOYINKA MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-3820
ANNA KAYO GRAGAS MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. ERIC YOUNG MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9109
LEAH ANN GOLDBERG MD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9109
BRAYLEE NICOLE GRISEL
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. KSENIYA SERGEEVNA MASTEROVA MD, PHD
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
MAXWELL BOKOR
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-9500
DR. ANJALI NICOLE SARVER MD, MPH
Emergency Medicine
5841 S MARYLAND AVE # 5068
CHICAGO, IL 60637
Cook County (773) 702-3820

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 Tracy Pham's NPI number?

The NPI number for Tracy Pham is 1740084847. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Tracy Pham located?

Tracy Pham practices at 5841 S Maryland Ave # 5068, Chicago, IL 60637. The listed phone number is (773) 702-9500.

What is Tracy Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tracy Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracy Pham was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.