THY PHAM (PA-C) – Physician Assistant, NPI 1063868420

THY PHAM (PA-C) is a healthcare provider. based in Denton, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10426 (TX). The NPI Number for THY PHAM (PA-C) is 1063868420

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
THY PHAM (PA-C)
NPI
1063868420
Phone
(940) 380-8040
Address
3537 S I 35 E
Enumeration Date
4 May 2016
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155941000
Graduation Year
2015 (11 years ago)
PAC ID
5799074860
Group Practice PAC ID
6002837077
Professional Enrollment ID
I20160512000552
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for THY PHAM (PA-C)

  • 1, 3545, Lone Star Circle, Fort Worth, Denton County, Texas, 76177, United States

    SUITE 218

    DENTON, TX 762106800

    Phone: (940) 380-8040

    Fax: (940) 380-8041

    Type: Location

  • 221 W. COLORADO BLVD

    PAVILION II SUITE 933

    DALLAS, TX 752086800

    Phone: (214) 947-3684

    Fax: (214) 947-3686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $614.

Total Amount is formed as General ($614) + Research ($0) + Ownership ($0) = $614.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Stryker Corporation ($433).

Total Amount

$614

General + Research + Ownership

Payments

28

Total payment records

General Amount

$614

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

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: 2016-05-12

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
I20160512000552IPhysician AssistantTXTBD

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 76210)

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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: 6002837077View full group profile

Reviews

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Frequently asked questions

Where can patients find THY PHAM (PA-C)'s NPI?
You can confirm THY PHAM (PA-C) with NPI 1063868420; it appears in the national provider directory.
Is THY PHAM (PA-C) active in the national directory?
THY PHAM (PA-C)'s public NPI profile is in an active state.
Does THY PHAM (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for THY PHAM (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place THY PHAM (PA-C)?
The snapshot lists Denton, Texas for THY PHAM (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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