WILLIAM PHAM (MD) – Internal Medicine Physician, NPI 1073136578

WILLIAM PHAM (MD) is a healthcare provider. based in Tulsa, Oklahoma. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 38332 (OK). The NPI Number for WILLIAM PHAM (MD) is 1073136578

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM PHAM (MD)
NPI
1073136578
Phone
Not provided
Address
9114 S BRADEN PL
Enumeration Date
19 May 2020
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052724978
Graduation Year
2021 (5 years ago)
PAC ID
0941747109
Group Practice PAC ID
1153794813
Professional Enrollment ID
I20240806000605
Address ID
OK731021036OK1000XAVEX449
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

Provider Addresses for WILLIAM PHAM (MD)

  • 9114 S BRADEN PL

    TULSA, OK 741374030

    Phone:

    Type: Mailing

  • 1111 N LEE AVE STE 305

    OKLAHOMA CITY, OK 731032620

    Phone: (405) 272-4978

    Type: Mailing

  • 1000 N LEE AVE

    OKLAHOMA CITY, OK 731021036

    Phone: (405) 272-7000

    Type: Location

  • 4502 E 41ST ST

    TULSA, OK 741352536

    Phone: (918) 619-4400

    Fax: (918) 619-4152

    Type: Mailing

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-03-05 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-05

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: 2024-08-06

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
I20240806000605IInternal MedicineOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74137)

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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: 1153794813View full group profile
NameSpecialtyState
Family PracticeOK
Family Practice, Hospitalist, Internal MedicineNY
Family PracticeOK
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOK
Family PracticeOK
Emergency Medicine, Family PracticeOK
Internal MedicineOK
Internal MedicineOK
Hospitalist, Internal Medicine, Internal Medicine, HospitalistNC
Obstetrics/Gynecology, Family PracticeOK

Reviews

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Frequently asked questions

What NPI should I save for WILLIAM PHAM (MD)?
Save NPI 1073136578 if you need a stable reference for WILLIAM PHAM (MD).
Is WILLIAM PHAM (MD) currently active in the NPI registry?
CMS-published data lists WILLIAM PHAM (MD) as an active registrant.
What field does WILLIAM PHAM (MD) work in?
You can think of WILLIAM PHAM (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is WILLIAM PHAM (MD)'s primary listing?
We display Tulsa, Oklahoma because that is what the record indicates for WILLIAM PHAM (MD).
How can I contact WILLIAM PHAM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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