Dominique Pham (NPI# 1891776662, PAC ID# 6406822634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1891776662 |
| PAC ID by PECOS | 6406822634 |
| Professional Enrollment ID | I20040908001271 |
| Full Name | Dominique Pham |
| Address |
1996 Centre St West Roxbury MA 02132-3329 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220119 | FAULKNER HOSPITAL-BRIGHAM AND WOMEN'S |
| 220088 | NEW ENGLAND BAPTIST HOSPITAL |
| 220100 | SOUTH SHORE HOSPITAL |
| 220110 | BRIGHAM AND WOMEN'S HOSPITAL |
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1996 Centre St, West Roxbury, MA 02132-3329 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 97% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 15% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 90% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 21% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 37% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 53% |
| Street Address |
1996 CENTRE ST |
| City | WEST ROXBURY |
| State | MA |
| Zip | 02132-3329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Halpern | Psychiatry | Community Services Institute, Inc. | 540 Vfw Pkwy, West Roxbury, MA 02132-1332 |
| Mark A Apazidis | Chiropractic | 1765 Centre St, West Roxbury, MA 02132-1535 | |
| Dhirendra S Bana | Internal Medicine | 19 Alhambra Rd, West Roxbury, MA 02132-1815 | |
| Rosemary M Harbeson | Clinical Social Worker | Brigham and Womens Physicians Organization Inc | 1832 Centre St, West Roxbury, MA 02132-1901 |
| Edward A Siegel | Podiatry | 81 Corey St, West Roxbury, MA 02132-2344 | |
| David S Greenstein | Optometry | 81 Corey St, West Roxbury, MA 02132-2345 | |
| Riley Fake | Chiropractic | Milton Chiropractic and Rehabilitation Inc | 1914 Centre St, West Roxbury, MA 02132-2535 |
| Alyssa Bissonnette | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1914 Centre St, West Roxbury, MA 02132-2535 |
| Ian Wedemeyer | Physical Therapy | Milton Chiropractic and Rehabilitation Inc | 1914 Centre St, West Roxbury, MA 02132-2535 |
| Sarah L Minden | Psychiatry | 238 Vermont St, West Roxbury, MA 02132-2833 | |
| Find all physicians in zip 02132 | |||
| City | WEST ROXBURY |
| Zip Code | 02132 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WEST ROXBURY + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Dominique Pham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.