JACKIE HOAITRAM PHAM HA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1043553787
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Provider Addresses for JACKIE HOAITRAM PHAM HA (DPM)
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
7600 FRANCE AVE S STE 1100
EDINA, MN 554355924
Phone: (952) 926-3566
Fax: (952) 929-3358
Type: Location
5201 Eden Ave
Suite 50
Edina, MN 554362316
Phone: (952) 929-2068
Type: Location
7600 France Ave S Ste 1100
Edina, MN 554355924
Phone: (952) 926-3566
Fax: (952) 929-3358
Type: Location
5201 Eden Ave Ste 50
Edina, MN 554362367
Phone: (763) 545-7545
Fax: (952) 929-2067
Type: Location
1601 Saint Francis Ave Ste 100
Shakopee, MN 553793384
Phone: (952) 428-3535
Type: Location
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: 2016-10-10
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 |
|---|---|---|---|---|
| I20161010000815 | I | Podiatry | MN | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 143 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 25 | $0 |
| 11750 | Permanent removal fingernail or toenail | 20 | 13 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 17 | 11 | $0 |
Insurance plans in this area (ZIP 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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