KATHLEEN T DANG-PHAM (PA-C) – Physician Assistant, NPI 1174532261

KATHLEEN T DANG-PHAM (PA-C) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 00613 (KS). The NPI Number for KATHLEEN T DANG-PHAM (PA-C) is 1174532261

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN T DANG-PHAM (PA-C)
NPI
1174532261
Phone
(316) 689-9335
Address
3311 E MURDOCK ST
Enumeration Date
7 August 2006
Last Update Date
27 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
31661248151280
Graduation Year
1997 (29 years ago)
PAC ID
6406864099
Group Practice PAC ID
6800881194
Professional Enrollment ID
I20060323000242
Address ID
KS672063405WI1921XRDXX400
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

1,303 PHYSICIAN ASSISTANT in KS

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Provider Addresses for KATHLEEN T DANG-PHAM (PA-C)

  • 3311, East Murdock Street, Wichita, Sedgwick County, Kansas, 67208, United States

    WICHITA, KS 672083054

    Phone: (316) 689-9335

    Fax: (316) 689-9364

    Type: Location

  • Wichita Post Office, West Harry Street, Wichita, Sedgwick County, Kansas, 67209, United States

    WICHITA, KS 672080035

    Phone: (316) 689-9135

    Fax: (316) 689-9102

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 220 Open Payments records for all available years, with a total value of $4,443.

Total Amount is formed as General ($4,443) + Research ($0) + Ownership ($0) = $4,443.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Amgen Inc. ($878).

Total Amount

$4,443

General + Research + Ownership

Payments

220

Total payment records

General Amount

$4,443

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-03-23

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
I20060323000242IPhysician AssistantKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes304259$0
36415Insertion of needle into vein for collection of blood sample292233$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count217177$0
80053Blood test, comprehensive group of blood chemicals215177$0
85652Red blood cell sedimentation rate, to detect inflammation, automated214172$0
View full utilization report →

Insurance plans in this area (ZIP 67208)

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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: 6800881194View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Rheumatology, Internal MedicineKS
-KS
Rheumatology, Internal MedicineKS
R H E U M A T O L O G YKS
Physician AssistantKS
Rheumatology, Internal MedicineKS
Physician AssistantKS
Rheumatology, Internal MedicineNE
Rheumatology, Internal MedicineKS

Reviews

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Frequently asked questions

How is KATHLEEN T DANG-PHAM (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KATHLEEN T DANG-PHAM (PA-C) with NPI 1174532261.
Is KATHLEEN T DANG-PHAM (PA-C) still practicing?
KATHLEEN T DANG-PHAM (PA-C) is currently listed as active in the public NPI registry.
What is KATHLEEN T DANG-PHAM (PA-C)'s primary classification?
Physician Assistant is the headline specialty for KATHLEEN T DANG-PHAM (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect KATHLEEN T DANG-PHAM (PA-C) on a map?
Expect Wichita, Kansas as a primary anchor for KATHLEEN T DANG-PHAM (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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