Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHANIE PHAM MD
NPI 1891436853
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since April 05, 2022PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-0880 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Apr 5, 2022 (2 updates tracked since 2022).

About Stephanie Pham Md NPPES

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

STEPHANIE PHAM MD (NPI 1891436853) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891436853
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE PHAMCredential: MD
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address2301 Holmes StKansas City, MO 64108-2640
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateNovember 3, 20262 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1891436853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 2026021217 (MO)
2301 HOLMES ST, Kansas City, MO 64108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie 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 20

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

Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108

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 Stephanie Pham's NPI number?

The NPI number for Stephanie Pham is 1891436853. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Stephanie Pham located?

Stephanie Pham practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (816) 404-0880.

What is Stephanie 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 Stephanie Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stephanie Pham was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.