DR. JOHN L PHAM (MD) – Internal Medicine Physician, NPI 1063876894

DR. JOHN L PHAM (MD) is a healthcare provider. based in Shawnee mission, Kansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-42120 (KS). The NPI Number for DR. JOHN L PHAM (MD) is 1063876894

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN L PHAM (MD)
NPI
1063876894
Phone
(913) 676-2000
Address
9100 W 74TH ST
Enumeration Date
7 April 2016
Last Update Date
16 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
7852298200
Graduation Year
2016 (10 years ago)
PAC ID
9739471269
Group Practice PAC ID
6103171160
Professional Enrollment ID
I20190727000036
Address ID
KS660673537OT1301XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,289 INTERNAL MEDICINE in KS

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Provider Addresses for DR. JOHN L PHAM (MD)

  • Shawnee Mission Medical Center, 9100, West 74th Street, Overland Park, Johnson County, Kansas, 66204, United States

    SHAWNEE MISSION, KS 662044004

    Phone: (913) 676-2000

    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: 2019-07-27

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
I20190727000036IInternal MedicineKSTBD

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 minutes529271$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes306178$0
99239Hospital discharge day management, more than 30 minutes191182$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes133132$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7070$0
View full utilization report →

Insurance plans in this area (ZIP 66204)

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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: 6103171160View full group profile
NameSpecialtyState
Internal MedicineMO
Hospitalist, Internal MedicineCT
Nurse PractitionerKS
Internal MedicineNV
H O S P I T A L I S TKS
Internal MedicineCO
Internal MedicineIL
Nurse PractitionerKS
Nurse PractitionerKS
Internal Medicine, Hospitalist, Internal MedicineKS

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN L PHAM (MD)?
The federal identifier for DR. JOHN L PHAM (MD) is NPI 1063876894.
Is DR. JOHN L PHAM (MD) currently active in the NPI registry?
CMS-published data lists DR. JOHN L PHAM (MD) as an active registrant.
What kind of provider is DR. JOHN L PHAM (MD)?
The page reflects Internal Medicine Physician for DR. JOHN L PHAM (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN L PHAM (MD)?
We surface Shawnee Mission, Kansas for DR. JOHN L PHAM (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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