DR. NHAT PHAM DO
NPI 1972098606
Family Medicine in Marysville, WA

Q: What is Nhat Pham's NPI number?

The NPI number for Nhat Pham is 1972098606. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Q: What is Nhat Pham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nhat Pham was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment

11603 STATE AVE STE G, MARYSVILLE, WA 98271(360) 658-6800 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2023, Nov 23, 2021, Jun 26, 2018 (3 updates tracked since 2018).

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About Dr. Nhat Pham Do NPPES

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

DR. NHAT PHAM DO (NPI 1972098606) is an individual family medicine provider in Marysville, Washington, licensed in Washington (OP61194203) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Wyoming.

NPPES Registry Identity

NPI1972098606

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NHAT PHAMCredential: DO

Location Address11603 STATE AVE STE GMarysville, WA 98271-8465

Mailing AddressPo Box 3360Portland, OR 97208-3360 · (360) 658-6800 · Fax (360) 658-6819

Phone(360) 658-6800

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 26, 2018

Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1972098606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WA · OP61194203✔ Licensed in MI · 5101024070

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.

11603 STATE AVE STE G, Marysville, WA 98271

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Secondary Practice Location 1

Location 15900 Byron Center Ave SWWyoming, MI 49519-9606 · Phone (616) 252-7389 · Fax (616) 252-0841

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nhat Pham Do 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.

PECOS PAC ID9032465067

PECOS Enrollment IDI20211014000762

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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

305 services149 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services48 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

47 services35 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

37 services34 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98271 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 4

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

GRACE CLAIRE MATHIESON

Social Worker (Clinical)

11603 STATE AVE STE G
MARYSVILLE, WA 98271

Snohomish County (425) 316-5062

MICHAEL J ANDREONI MD

Internal Medicine

11603 STATE AVE STE G
MARYSVILLE, WA 98271

Snohomish County (360) 658-6800

SIMA GOPAL MISTRY M.D.

Pediatrics

11603 STATE AVE STE G, PROVIDENCE MEDICAL GROUP MARYSVILLE CLINIC
MARYSVILLE, WA 98271

Snohomish County (360) 658-6800

RYAN S MAZIARZ

Family Medicine

11603 STATE AVE STE G
MARYSVILLE, WA 98271

Snohomish County (360) 658-6800

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 Nhat Pham's NPI number?

The NPI number for Nhat Pham is 1972098606. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Nhat Pham located?

Nhat Pham practices at 11603 State Ave Ste G, Marysville, WA 98271. The listed phone number is (360) 658-6800.

What is Nhat Pham's specialty?

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

Is Nhat Pham enrolled in Medicare?

Yes. Nhat 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.

What insurance does Nhat Pham accept?

Health plans from Providence Health Plan list Nhat 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 Nhat Pham affiliated with any hospitals?

According to CMS data, Nhat Pham is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Nhat Pham was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.