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DR. MAIKHOI T PHAM DPM MBA NPI 1811273600


NPI Information

NPI: 1811273600
Provider Name: DR. MAIKHOI T PHAM, DPM, MBA
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
538 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34984
Phone: (772) 871-5900
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DR. Maikhoi T Pham, DPM, MBA is a foot and ankle surgery podiatrist in Port St Lucie, FL with 15 years of experience. DR. Maikhoi T Pham, DPM, MBA NPI is 1811273600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2009

The provider's business location address is:

538 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL
ZIP 34984-108
Phone: (772) 871-5900
Fax: (772) 871-1197

The NPI 1811273600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue (HCPCS:11045)
  • Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) (HCPCS:15271)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 10/25/2011 and was last updated on 11/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist2029TEXASNo
2213ES0103XPodiatristFoot & Ankle SurgeryPO3506FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1318118202MEDICAIDTEXAS
2P01144991OTHERTEXASMEDICARE TRA
39426400MEDICAIDFLORIDA
4318118201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.