KEVIN K PHAM (DO) – Hospitalist Physician, NPI 1144754607
Hospitalist Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for KEVIN K PHAM (DO)
523 S Main St
Carrollton, IL 62016
Phone: (217) 942-3326
Fax: (217) 942-9833
Type: Location
414 S State St
Roodhouse, IL 62082
Phone: (217) 589-4383
Fax: (217) 589-4409
Type: Location
PO BOX 959354
SAINT LOUIS, MO 631951863
Phone: (618) 257-6220
Fax: (618) 257-6679
Type: Mailing
4500 MEMORIAL DR
BELLEVILLE, IL 622265360
Phone: (618) 257-6220
Type: Location
Lakeland Medical Center, 1234, Napier Avenue, Saint Joseph, Berrien County, Michigan, 49085, United States
LAKELAND HEALTH
SAINT JOSEPH, MI 490852112
Phone:
Type: Mailing
390 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Phone: (618) 498-7518
Fax: (618) 498-3052
Type: Mailing
414 S STATE ST
ROODHOUSE, IL 62082
Phone: (217) 589-4383
Fax: (217) 589-4409
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-05-31 • Largest payer in this snapshot: ABBVIE INC. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $13 |
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: 2021-10-05
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 |
|---|---|---|---|---|
| I20211005000169 | I | Internal Medicine | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 442 | 193 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 410 | 181 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 223 | 215 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 90 | 89 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 49 | 49 | $0 |
Insurance plans in this area (ZIP 62016)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
Reviews
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