Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Ky D Pham , MD

General Practice β€’ Fort Cavazos, TX

Active NPI 1215293659 Individual Practitioner Male Practitioner
Practice location in NPPES

590 Medical Center Road
Fort Cavazos, TX 76544

Call 5128932835 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

590 Medical Center Road

Fort Cavazos, TX 76544

Telephone 5128932835
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Houston, TX; New Orleans, LA. See the list

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

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

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

Compared with the same specialty in Fort Cavazos and Texas

12 active clinicians are listed under General Practice with a practice address in Fort Cavazos, TX (1,066 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Cavazos

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-24
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101277584

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES IN 01091111A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

433 Bolivar St

New Orleans, LA 701127021

Phone: 5045682315

6410 Fannin Street, Suite 1014

Houston, TX 770305389

Phone: 8323257080

Clinicians Sharing This Practice Address or Phone

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

25 listed
Dr. Erickson Andrews , MD

Orthopaedic Surgery

NPI 1881154300

Doctor of Medicine (M.D.)

Rosa Cervantes , NP

Nurse Practitioner - Family

NPI 1942789243

Nurse Practitioner

Christine Ellis , APRN

Nurse Practitioner - Family

NPI 1245501170

Advanced Practice Registered Nurse

Ricky Gibson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1295151405

Certified Registered Nurse Anesthetist

Laura Griffith , APRN

Nurse Practitioner - Women's Health

NPI 1982893723

Advanced Practice Registered Nurse

Dr. Shay Hartvickson , MD

Emergency Medicine

NPI 1477913747

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
πŸ“
Updated Practice Location November 25, 2024

Registered at 590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544 (Tel: 5128932835)

πŸ“
Updated Business Mailing Address November 25, 2024

Registered at 590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544 (Tel: 5128932835)

πŸ“
Updated Practice Location April 19, 2024

Registered at 36000 DARNALL LOOP, FORT CAVAZOS, TX 765445095 (Tel: 2542888169)

πŸ“
Updated Business Mailing Address April 19, 2024

Registered at 36000 DARNALL LOOOP, FORT CAVAZOS, TX 76544 (Tel: 2542888169)

πŸ“
Updated Practice Location October 30, 2023

Registered at 2806 FONTANA DR, HOUSTON, TX 770431706 (Tel: 2253155768)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

General Practice (license number reported to NPPES: IN 01091111A)

πŸ“
Updated Practice Location May 12, 2020

Registered at 6410 FANNIN STREET, SUITE 1014, HOUSTON, TX 770305389 (Tel: 8323257080)

πŸ“
Updated Business Mailing Address May 12, 2020

Registered at 2806 FONTANA DR, HOUSTON, TX 770431706 (Tel: 2253155768)

πŸ‘€
Provider Name / Credentials Updated May 12, 2020

Recorded as KY PHAM, MD

βœ…
NPI Profile Active April 10, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2012

Registered at 433 BOLIVAR ST, NEW ORLEANS, LA 701127021 (Tel: 5045682315)

πŸ“
Business Mailing Address (Initial Record) April 10, 2012

Registered at 1542 TULANE AVE, SUITE 659, NEW ORLEANS, LA 701122865 (Tel: 5045682315)

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2012

Recorded as KY PHAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2012

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 10, 2012

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1215293659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2012
Last Update: November 25, 2024
Sole Proprietor: No

Mailing Address

590 Medical Center Road

Fort Cavazos, TX 76544

Phone: 5128932835

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.