DR. MICHAEL PHAM (DO) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1780144709
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
833 PHYSICAL MEDICINE AND REHABILITATION in FL
Provider Addresses for DR. MICHAEL PHAM (DO)
14000 Fivay Rd
Hudson, FL 346677103
Phone: (727) 819-2966
Type: Location
45900 Geddes Rd
Canton, MI 481882306
Phone: (734) 879-4100
Type: Location
15750 Northline Rd
Southgate, MI 481952378
Phone: (734) 357-0505
Fax: (734) 357-0506
Type: Location
Regional Medical Center Bayonet Point, 14000, Fivay Road, Hudson, Pasco County, Florida, 34667, United States
HUDSON, FL 346677103
Phone: (727) 819-2966
Type: Mailing
26222 TELEGRAPH RD
SOUTHFIELD, MI 480335318
Phone: (248) 827-7200
Type: Mailing
20905 GREENFIELD RD
SOUTHFIELD, MI 480755360
Phone: (248) 569-0296
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Nevro Corp. ($171).
Total Amount
$320
General + Research + Ownership
Payments
6
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $171 |
| Boston Scientific Corporation | $149 |
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: 2024-08-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240820000096 | I | Physical Medicine And Rehabilitation | MI | TBD |
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.
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 34667)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Diagnostic Radiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology, Family Practice | LA | |
| Anesthesiology, Interventional Pain Management, Interventional Pain Management, Anesthesiology | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MI | |
| Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology) | MI |
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