DR. NHAT-LONG LAM PHAM (M.D., PH.D.) – Radiation Oncology Physician, NPI 1003102617

DR. NHAT-LONG LAM PHAM (M.D., PH.D.) is a healthcare provider. based in Southlake, Texas. specializing in RADIATION ONCOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. Q8603 (TX). The NPI Number for DR. NHAT-LONG LAM PHAM (M.D., PH.D.) is 1003102617

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. NHAT-LONG LAM PHAM (M.D., PH.D.)
NPI
1003102617
Phone
(858) 309-2995
Address
507 FOX GLN
Enumeration Date
22 June 2011
Last Update Date
16 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5593200530
Graduation Year
2011 (15 years ago)
PAC ID
3173816378
Group Practice PAC ID
6608280268
Professional Enrollment ID
I20190109000697
Address ID
CA932916164VI805XXAVEX406
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

450 RADIATION ONCOLOGY in TX

Provider Addresses for DR. NHAT-LONG LAM PHAM (M.D., PH.D.)

  • 507 FOX GLN

    SOUTHLAKE, TX 760924318

    Phone: (858) 309-2995

    Type: Mailing

  • 5801 FOREST PARK RD

    DALLAS, TX 753909183

    Phone: (241) 645-7615

    Fax: (214) 645-7624

    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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Novocure Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novocure Inc.$18
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: 2019-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160726001715IRadiation OncologyTXTBD
I20190109000697IRadiation OncologyCATBD

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
77014Ct guidance for insertion of radiation therapy fields1,53597$0
77300Calculation of radiation therapy dose638120$0
77334Design and construction of complex radiation treatment device404116$0
77427Radiation treatment management, 5 treatment sessions398105$0
99213Established patient office or other outpatient visit, 20-29 minutes194130$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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: 6608280268View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal MedicineCA
Family PracticeVT
Internal MedicineFL
Internal MedicineNJ
Internal MedicineCA
Certified Registered Nurse Anesthetist (Crna)CA
Nurse PractitionerCA
Family Practice, HospitalistCA
Internal MedicineNY

Reviews

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Frequently asked questions

Can I use this page to confirm DR. NHAT-LONG LAM PHAM (M.D., PH.D.)'s NPI?
Yes. DR. NHAT-LONG LAM PHAM (M.D., PH.D.) is listed with NPI 1003102617 in the public NPI dataset.
Is DR. NHAT-LONG LAM PHAM (M.D., PH.D.) listed as active for patients and plans?
The listing shows DR. NHAT-LONG LAM PHAM (M.D., PH.D.) as active in the NPI system.
What taxonomy line describes DR. NHAT-LONG LAM PHAM (M.D., PH.D.)?
For research purposes, treat DR. NHAT-LONG LAM PHAM (M.D., PH.D.) as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. NHAT-LONG LAM PHAM (M.D., PH.D.) list a practice location?
Patients near Southlake, Texas may find DR. NHAT-LONG LAM PHAM (M.D., PH.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.