KEVIN PHAM (M.D.) – Nephrology Physician, NPI 1477623635

KEVIN PHAM (M.D.) is a healthcare provider. based in Orange, California. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A67209 (CA). The NPI Number for KEVIN PHAM (M.D.) is 1477623635

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN PHAM (M.D.)
NPI
1477623635
Phone
(714) 836-4204
Address
500 S MAIN ST
Enumeration Date
8 November 2006
Last Update Date
18 August 2008

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
7148364204
Graduation Year
1997 (29 years ago)
PAC ID
3476530056
Group Practice PAC ID
3375523277
Professional Enrollment ID
I20040701000742
Address ID
CA928684535OR500XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,404 NEPHROLOGY in CA

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Provider Addresses for KEVIN PHAM (M.D.)

  • Main Lane, Orlando, Orange County, Florida, 32801, United States

    SUITE 101

    ORANGE, CA 928684507

    Phone: (714) 836-4204

    Fax: (714) 836-1809

    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)

CMS reports 348 Open Payments records for all available years, with a total value of $7,119.

Total Amount is formed as General ($7,119) + Research ($0) + Ownership ($0) = $7,119.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,220).

Total Amount

$7,119

General + Research + Ownership

Payments

348

Total payment records

General Amount

$7,119

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-01

PECOS data refreshed: 2026-05-27

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
I20040701000742INephrologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes965245$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)901118$0
99213Established patient office or other outpatient visit, 20-29 minutes862375$0
90935Hemodialysis procedure with physician evaluation30889$0
90966Home dialysis services per month (20 years or older)18520$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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Provider's Procedures

KEVIN PHAM (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYCA81002Urinalysis, manual test3232
NEPHROLOGYCA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older6436

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: 3375523277View full group profile
NameSpecialtyState
Internal Medicine, NephrologyTX
Nephrology, Internal MedicineNV
Nephrology, Internal MedicineNV
Internal Medicine, NephrologyCA

Reviews

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Frequently asked questions

What federal number belongs to KEVIN PHAM (M.D.)?
The federal identifier for KEVIN PHAM (M.D.) is NPI 1477623635.
Is KEVIN PHAM (M.D.) currently active in the NPI registry?
CMS-published data lists KEVIN PHAM (M.D.) as an active registrant.
Can you summarize KEVIN PHAM (M.D.)'s specialty in plain language?
Clinically, the directory lists KEVIN PHAM (M.D.) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does KEVIN PHAM (M.D.) practice in California?
You will see Orange, California on file for KEVIN PHAM (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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