DR. TOMMY DUONG PHAM MD
NPI 1750910402
Family Medicine in Danville, PA
About Dr. Tommy Duong Pham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TOMMY DUONG PHAM MD (NPI 1750910402) is an individual family medicine provider in Danville, Pennsylvania, licensed in Rhode Island (MD19703) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tommy Duong 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tommy Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Westerly, RI 02891
- Reassigned Medicare billing, Rhode Island enrollment
- 2 clinicians in this Medicare group
Warwick, RI 02886
- Reassigned Medicare billing, Rhode Island enrollment
- 984 clinicians in this Medicare group
Mansfield, MA 02048
- Reassigned Medicare billing, Massachusetts enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sturdy Memorial Hospital
Acute Care Hospitals · Attleboro, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17822 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
DANVILLE, PA 17822
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 Tommy Pham's NPI number?
The NPI number for Tommy Pham is 1750910402. It was assigned to this individual provider in the NPPES registry on April 5, 2020.
Where is Tommy Pham located?
Tommy Pham practices at Geisinger Medical Center 100 North Academy Avenue, Danville, PA 17822. The listed phone number is (570) 271-6211.
What is Tommy Pham's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tommy Pham enrolled in Medicare?
Yes. Tommy 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.
Which organizations bill Medicare for Tommy Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tommy Pham reassigns Medicare benefits to 3 organizations: Bhg Lxxix, LLC (Westerly, RI), Affinity Physicians LLC. (Warwick, RI) and Sturdy Health, Inc. (Mansfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tommy Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tommy Pham accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Taro Health list Tommy 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 Tommy Pham affiliated with any hospitals?
According to CMS data, Tommy Pham is affiliated with Sturdy Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Tommy Pham was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.