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Dr. Thach Pham , MD

Surgery โ€ข Providence, RI

Active NPI 1518137223 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2 Dudley St Ste 470
Providence, RI 029053248

Call 4015538353 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St Ste 470

Providence, RI 029053248

Telephone 4015538353
Fax 4018682308
Organization at the Same NPPES Address or Phone
University Surgical Associates, Inc. Facility NPI 1376589895

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Apo, AE. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Lifespan Physician Group Inc; University Surgical Associates, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Drexel University College Of Medicine

Graduation Year

2006

Open Payments general payments, program year 2025

All general payments: $162.05 across 4 records.

By nature of payment

  • Food and Beverage: $162.05 across 4 records.

Reporting-company totals

  • Medtronic, Inc.: $105.72 across 2 records.
  • Ethicon Inc.: $56.33 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Pham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Pham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Providence and Rhode Island

91 active clinicians are listed under Surgery with a practice address in Providence, RI (151 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Providence

4.4% of these 91 clinicians have the CMS telehealth indicator.

45.1% of these 91 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $162.05.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
SIGNIA General $84.62
Ethicon Inc.
Food and Beverage
In-kind items and services
Echelon; Endopath General $40.19
Medtronic, Inc.
Food and Beverage
In-kind items and services
SIGNIA General $21.10
Ethicon Inc.
Food and Beverage
In-kind items and services
Echelon; Endopath General $16.14

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES RI MD20757

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES NH 16605

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

License # reported to NPPES CA C145443

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20260227002569

Enrollment State Jurisdiction

MA

PECOS Control ID

3274717384

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Secondary Practice Locations

Landstuhl Regional Medical Center, Unit 33100

Apo, AE 091803100

Phone: 3145905096

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1497753644

Doctor of Medicine (M.D.)

NPI 1649899337

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿ“
Updated Practice Location June 16, 2025

Registered at 2 DUDLEY ST STE 470, PROVIDENCE, RI 029053248 (Tel: 4015538353)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Surgery (license number reported to NPPES: NH 16605)

๐Ÿ“
Updated Practice Location September 22, 2022

Registered at LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100, APO, AE 091803100 (Tel: 3145905096)

๐Ÿ“
Updated Business Mailing Address September 22, 2022

Registered at LANDSTUHL REGIONAL MEDICAL CENTER, UNIT 33100, APO, AE 091803100 (Tel: 3145905096)

โœ…
NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location September 28, 2017

Registered at 4520 EXECUTIVE DR STE 111, SAN DIEGO, CA 921213019 (Tel: 8586577025)

๐Ÿ“
Updated Business Mailing Address September 28, 2017

Registered at PO BOX 232410, SAN DIEGO, CA 921932410

๐Ÿ‘ค
Provider Name / Credentials Updated September 28, 2017

Recorded as THACH PHAM, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Surgery (license number reported to NPPES: CA C145443)

โœ…
NPI Profile Active March 10, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 10, 2008

Registered at 300 HOSPITAL RD, FORT GORDON, GA 309055650 (Tel: 7067872567)

๐Ÿ“
Business Mailing Address (Initial Record) March 10, 2008

Registered at 524 FAIRFIELD WAY, EVANS, GA 308093618

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 10, 2008

Recorded as THACH PHAM, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2008

Surgery (license number reported to NPPES: GA 60693)

๐ŸŸข
Initial NPI Registration & Enumeration March 10, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1518137223
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2008
Last Update: June 16, 2025
Sole Proprietor: No

Other Surgery Specialists in Providence

All Surgery Specialists in Providence

Mailing Address

Landstuhl Regional Medical Center, Unit 33100

Apo, AE 091803100

Phone: 3145905096

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.