JENNIFER PHAM
NPI 1992580120
Physician Assistant - Medical in Arlington, TX

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
3301 MATLOCK RD, ARLINGTON, TX 76015(817) 703-5507 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Pham NPPES

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

JENNIFER PHAM (NPI 1992580120) is an individual medical provider in Arlington, Texas, licensed in Texas (PA19424) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Medical City Fort Worth, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992580120
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER PHAM
Location Address3301 MATLOCK RDArlington, TX 76015-2908
Mailing Address5501 Coronation DrArlington, TX 76017-4969
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2023
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
NPI 1992580120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TX · PA19424
3301 MATLOCK RD, Arlington, TX 76015

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

Jennifer Pham 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 ID446756795
PECOS Enrollment IDI20251004000202
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.

Hospital Affiliations CMS Care Compare

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

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450672
Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

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.

Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Physician Assistant
3301 MATLOCK RD
ARLINGTON, TX 76015
Emergency Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Student in an Organized Health Care Education/Training Program
3301 MATLOCK RD, MEDICAL CITY ARLINGTON HOSPITAL
ARLINGTON, TX 76015
Internal Medicine
3301 MATLOCK RD
ARLINGTON, TX 76015
Student in an Organized Health Care Education/Training Program
3301 MATLOCK RD
ARLINGTON, TX 76015
Student in an Organized Health Care Education/Training Program
3301 MATLOCK RD
ARLINGTON, TX 76015
Student in an Organized Health Care Education/Training Program
3301 MATLOCK RD
ARLINGTON, TX 76015

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 Jennifer Pham's NPI number?

The NPI number for Jennifer Pham is 1992580120. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jennifer Pham located?

Jennifer Pham practices at 3301 Matlock Rd, Arlington, TX 76015. The listed phone number is (817) 703-5507.

What is Jennifer Pham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Pham enrolled in Medicare?

Yes. Jennifer 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.

Is Jennifer Pham affiliated with any hospitals?

According to CMS data, Jennifer Pham is affiliated with Medical City Fort Worth.

When was this NPI record last updated?

The NPPES record for Jennifer Pham was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.