MICHAEL PHAM (DO) – Internal Medicine Physician, NPI 1194258996

MICHAEL PHAM (DO) is a healthcare provider. based in Missouri city, Texas. specializing in GENERAL SURGERY, INTERNAL MEDICINE, GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 67327 (CT). The NPI Number for MICHAEL PHAM (DO) is 1194258996

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL PHAM (DO)
NPI
1194258996
Phone
Not provided
Address
4015 WATERVIEW CT
Enumeration Date
7 April 2017
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
3104455999
Graduation Year
2017 (9 years ago)
PAC ID
2466855911
Group Practice PAC ID
4880132760
Professional Enrollment ID
I20220504001158
Address ID
GA30092XXXXPEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for MICHAEL PHAM (DO)

  • 4015 WATERVIEW CT

    MISSOURI CITY, TX 774592309

    Phone:

    Type: Mailing

  • 2213 S BRAESWOOD BLVD APT 12G

    HOUSTON, TX 770304377

    Phone: (713) 679-0121

    Type: Mailing

  • 7101 S PADRE ISLAND DR

    CORPUS CHRISTI, TX 784124913

    Phone: (361) 761-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($70).

Total Amount

$117

General + Research + Ownership

Payments

5

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2025-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20220504001158IInternal MedicineGATBD
I20230428000525IInternal MedicineCTTBD
I20240913001415IInternal MedicineCOTBD
I20250226000063IInternal MedicineTXTBD
I20250925001885IInternal MedicineNYTBD

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 77459)

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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: 4880132760View full group profile
NameSpecialtyState
General PracticeTX
General PracticeLA
General SurgeryCA
General Surgery, General PracticeCA
General Practice, General SurgeryCA
General Practice, General SurgeryOH
General SurgeryVA
Internal MedicineCA
Internal Medicine, General SurgeryMA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL PHAM (DO)'s NPI?
Yes. MICHAEL PHAM (DO) is listed with NPI 1194258996 in the public NPI dataset.
Is MICHAEL PHAM (DO) still practicing?
MICHAEL PHAM (DO) is currently listed as active in the public NPI registry.
What is MICHAEL PHAM (DO) best known for clinically?
Directory data describes MICHAEL PHAM (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MICHAEL PHAM (DO) based?
MICHAEL PHAM (DO) is tied to Missouri City, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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