DENNY PHAM – Certified Registered Nurse Anesthetist, NPI 1760721765

DENNY PHAM is a healthcare provider. based in Anchorage, Alaska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 728851 (CA). The NPI Number for DENNY PHAM is 1760721765

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DENNY PHAM
NPI
1760721765
Phone
(619) 757-8772
Address
2813 KIMBERLIE CT
Enumeration Date
11 February 2013
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192661653
Graduation Year
2013 (13 years ago)
PAC ID
0244460673
Group Practice PAC ID
1153638572
Professional Enrollment ID
I20240325003794
Address ID
CA921143611SA286XXAVEX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:13State licenses:3Digital endpointsOther names

134 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AK

Provider Addresses for DENNY PHAM

  • 2813 KIMBERLIE CT

    ANCHORAGE, AK 995085328

    Phone: (619) 757-8772

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240325003794ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153638572View full group profile
NameSpecialtyState
-CA
-NV
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

How do payers reference DENNY PHAM?
For DENNY PHAM, use NPI 1760721765 as the unique 10-digit identifier.
Is there an active status for DENNY PHAM?
For scheduling context, DENNY PHAM is shown as active in the registry.
How would a patient describe DENNY PHAM's focus?
For DENNY PHAM, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Alaska is DENNY PHAM registered?
Use Anchorage, Alaska as the headline location for DENNY PHAM here.
When was this NPI issued?
Enumeration for DENNY PHAM is noted as February 11, 2013 where the registry provides it.

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