SON PHUONG PHAM (M.D.) – Emergency Medicine Physician, NPI 1558650127
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,497 EMERGENCY MEDICINE in VA
Provider Addresses for SON PHUONG PHAM (M.D.)
633D MEDICAL GROUP
77 NEALY AVE
HAMPTON, VA 236652040
Phone: (757) 225-7630
Type: Mailing
88 MDG/SGHJ
4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Phone: (937) 257-0770
Type: Mailing
633d Medical Group
77 Nealy Ave
Hampton, VA 236652040
Phone: (757) 225-7630
Type: Location
1 Kettering Way
Piqua, OH 453564146
Phone: (937) 916-2625
Type: Location
600 W Main St
Troy, OH 453733384
Phone: (937) 980-7010
Type: Location
6147 State Route 122
Middletown, OH 450055201
Phone: (513) 261-3410
Type: Location
100 Kettering Way
Franklin, OH 450051155
Phone: (937) 458-4700
Type: Location
3535 Pentagon Blvd
Beavercreek, OH 454311705
Phone: (937) 702-4500
Type: Location
4000 Miamisburg Centerville Rd
Miamisburg, OH 453427615
Phone: (937) 384-8791
Type: Location
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 395-8166
Type: Location
1141 N Monroe Dr
Xenia, OH 453851619
Phone: (937) 352-2500
Type: Location
4881 SUGAR MAPLE DR
DAYTON, OH 454335529
Phone: (937) 257-0770
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: 2023-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200323002646 | I | Emergency Medicine | VA | TBD |
| I20230315002429 | I | Emergency Medicine | OH | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 49 | 49 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 23665)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| - | OH | |
| Emergency Medicine | OH |
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