MAI THAO PHAM MD
NPI 1902251317
Family Medicine in Baytown, TX

Active since May 04, 2016PECOS Enrolled
1602 GARTH RD, BAYTOWN, TX 77520(281) 837-2700 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2021, Sep 10, 2021, Jun 4, 2019 (3 updates tracked since 2019).

About Mai Thao Pham Md NPPES

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

MAI THAO PHAM MD (NPI 1902251317) is an individual family medicine provider in Baytown, Texas, licensed in Texas (R5182) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902251317
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMAI THAO PHAMCredential: MD
Location Address1602 GARTH RDBaytown, TX 77520-2410
Mailing Address1602 Garth RdBaytown, TX 77520-2410 · (281) 837-2700
Sole ProprietorYes
Enumeration DateMay 4, 2016
Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1902251317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R5182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1602 GARTH RD, Baytown, TX 77520

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mai Thao 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mai Pham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Family Medicine
9999 BELLAIRE BLVD STE 370
Houston, TX 77036
  • Reassigned Medicare billing, Texas enrollment
  • 21 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77520 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Social Worker (Clinical)
1602 GARTH RD
BAYTOWN, TX 77520
Family Medicine
1602 GARTH RD, 250
BAYTOWN, TX 77520
Pharmacy (Clinic Pharmacy)
1602 GARTH RD, PHARMACY
BAYTOWN, TX 77520
Pharmacist
1602 GARTH RD
BAYTOWN, TX 77520
Family Medicine
1602 GARTH RD
BAYTOWN, TX 77520
Family Medicine
1602 GARTH RD
BAYTOWN, TX 77520
Family Medicine
1602 GARTH RD
BAYTOWN, TX 77520
Family Medicine
1602 GARTH RD
BAYTOWN, TX 77520

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 Mai Pham's NPI number?

The NPI number for Mai Pham is 1902251317. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Mai Pham located?

Mai Pham practices at 1602 Garth Rd, Baytown, TX 77520. The listed phone number is (281) 837-2700.

What is Mai Pham's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mai Pham enrolled in Medicare?

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

Which organizations bill Medicare for Mai Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mai Pham reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Wang & jiang, MD, PA (Houston, TX). 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 Mai Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mai Pham accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Mai 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.

When was this NPI record last updated?

The NPPES record for Mai Pham was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.