DR. JUSTIN HUNG PHAM M.D.
NPI 1821040866
Radiology - Diagnostic Radiology in Rockford, IL
About Dr. Justin Hung Pham M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUSTIN HUNG PHAM M.D. (NPI 1821040866) is an individual diagnostic radiology provider in Rockford, Illinois, licensed in California (A72116) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare White Oak Medical Center, and maintains 12 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 12
Other Identifiers 6
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. Justin Hung Pham M.d. 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
133Medicare enrollment records show Justin Pham reassigns Medicare billing to 133 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61114
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois enrollment
- 671 clinicians in this Medicare group
Sycamore, IL 60178
- Reassigned Medicare billing, Illinois, North Carolina and Pennsylvania enrollments
- Also billed through NPI 1619206133 (North Carolina), NPI 1952630626 (Pennsylvania)
- 122 clinicians in this Medicare group
Chicago, IL 60631
- Reassigned Medicare billing, California enrollment
- 23 clinicians in this Medicare group
Morton Grove, IL 60053
- Reassigned Medicare billing, Illinois enrollment
- 25 clinicians in this Medicare group
Palos Hills, IL 60465
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Lawrenceville, IL 62439
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1396024162 (Illinois)
- 80 clinicians in this Medicare group
Perryville, MO 63775
- Reassigned Medicare billing, Missouri enrollment
- 192 clinicians in this Medicare group
Clarksville, IN 47129
- Reassigned Medicare billing, California 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 63
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventist Healthcare White Oak Medical Center
Acute Care Hospitals · Silver Spring, MDAdventist Healthcare Shady Grove Medical Center
Acute Care Hospitals · Rockville, MDSt Joseph Medical Center
Acute Care Hospitals · Kansas City, MOCorpus Christi Medical Center,the
Acute Care Hospitals · Corpus Christi, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61114 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.
ROCKFORD, IL 61114
ROCKFORD, IL 61114
ROCKFORD, IL 61114
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 Justin Pham's NPI number?
The NPI number for Justin Pham is 1821040866. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Justin Pham located?
Justin Pham practices at 8201 E Riverside Blvd, Rockford, IL 61114. The listed phone number is (815) 971-7000.
What is Justin Pham's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Justin Pham enrolled in Medicare?
Yes. Justin 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 Justin Pham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Pham reassigns Medicare benefits to 133 organizations: Rockford Health Physicians (Rockford, IL), Mercy Harvard Hospital Inc (Harvard, IL), Mercy Health System Corporation (Janesville, WI), Knd Development 59 LLC (Sycamore, IL), Illinois Diagnostic And Interventional Radiology PLLC (Chicago, IL) and 128 more organizations, listed in the Medicare section above. 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 Justin Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Pham accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and CareSource and 11 other insurers list Justin 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 Justin Pham affiliated with any hospitals?
According to CMS data, Justin Pham is affiliated with Adventist Healthcare White Oak Medical Center, Adventist Healthcare Shady Grove Medical Center, St Joseph Medical Center and Corpus Christi Medical Center,the.
When was this NPI record last updated?
The NPPES record for Justin Pham was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Justin Hung Pham, M.D. · NPI 1821040866
Diagnostic Radiology physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1821040866 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A72116 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8201 E RIVERSIDE BLVD, Rockford, IL 61114-2300
- **Phone:** (815) 971-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 133 organizations under Medicare reassignment (form CMS-855R): Rockford Health Physicians (NPI 1043242886, Rockford, IL); Mercy Harvard Hospital Inc (NPI 1427001445, Harvard, IL); Mercy Health System Corporation (NPI 1598718603, Janesville, WI); Knd Development 59 LLC (NPI 1528397197, Sycamore, IL); Illinois Diagnostic And Interventional Radiology PLLC (NPI 1114723608, Chicago, IL); and 128 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 1998
## Record status
- **NPPES last updated:** January 13, 2026
- **Other identifiers:** Other 00A711260; Medicaid 7100056140 (KY); Medicaid 2927677 (OH); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821040866) · Data from the CMS NPPES public registry.