DR. MAU K. PHAM DDS
NPI 1174708119
Student in an Organized Health Care Education/Training Program in San Antonio, TX

NPI Status: Active since January 09, 2008

Contact Information

4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 358-2015

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About MAU PHAM

This page provides the complete NPI Profile along with additional information for Mau Pham, a primary care provider established in San Antonio, Texas with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1174708119 assigned on January 2008. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1174708119
Provider Name
DR. MAU K. PHAM DDS
Gender
Female
Entity Type
Individual
Location Address
4502 MEDICAL DR SAN ANTONIO, TX 78229
Location Phone
(210) 358-2015
Mailing Address
7703 FLOYD CURL DR SAN ANTONIO, TX 78229
Is Sole Proprietor?
No
Enumeration Date
01-09-2008
Last Update Date
01-09-2008
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A primary care provider (PCP) like Mau Pham sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mau Pham opted out of Medicare effective on 09-14-2015 until 09-14-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Bronze Standard - HMO
  • Catastrophic Standard - HMO
  • Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Gold Standard - HMO
  • Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
  • Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
  • Silver Standard - HMO
  • BEST Life Superior Dental Plan - PPO
  • BEST Essential Basic Dental Plan - PPO
  • BEST Life Essentail Basic Dental Plan - PPO
  • BEST Life Essentail Value Dental Plan - PPO
  • BEST Life Essental Value Dental Plan - PPO
  • BEST Life Essential Basic Dental - PPO
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Basic Dental - PPO
  • BEST Life Essential Basic Dental Plan - PPO
  • BEST Life Essential Vakue Dental Plan - PPO
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Essential Value Dental - PPO
  • BEST Life Essential Value Dental Plan - PPO
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Preferred Dental - PPO
  • BEST Life Preferred Dental Plan - PPO
  • BEST Life Preferred Dental plan - PPO
  • BEST Life Superior Dental - PPO
  • BEST Life Superior Dental Plan - PPO
  • BEST Life Superior Dental Plan - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • BlueCare Dental? 1D - PPO
  • BlueCare Dental 1D - PPO
  • BlueCare Dental 4 Kids? 1A - PPO
  • BlueCare Dental 4 Kids? 1B - PPO
  • BlueCare Dental? 1A - PPO
  • BlueCare Dental? 1B - PPO
  • BlueCare Dental? 1C - PPO
  • Delta Dental Individual and Family DPO Basic Plan for Families - PPO
  • Delta Dental Individual and Family DPO Preferred Plan for Families - PPO
  • Delta Dental Individual and Family DPO Preventive Plan for Families - PPO
  • Guardian Basics for Families and Individuals - PPO
  • Guardian Choice for Families and Individuals - PPO
  • Guardian Essentials for Families and Individuals - PPO
  • Guardian Preventive Plus for Families and Individuals - PPO
  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Humana Dental Smart Choice Basic - PPO
  • Humana Dental Smart Choice- Lite - PPO
  • Paramount Dental Essential Plus Plan - EPO
  • Paramount Dental Preventive Family Plan - EPO
  • Paramount Dental Total Care Plan - EPO
  • HRI Essential Plus Plan - HMO
  • HRI Essential Plus Plan - PPO
  • HRI Preventive Family Plan - HMO
  • HRI Preventive Family Plan - PPO
  • HRI Total Care Plan - HMO
  • HRI Total Care Plan - PPO
  • Alabama Preferred Plan - PPO
  • Alabama Preferred Plan (Pediatric Only) - PPO
  • Alabama Preferred Plus Plan - PPO
  • Alabama Preferred Plus Plan (Pediatric Only) - PPO
  • Alabama Wellness Essentials Plan - PPO
  • Florida Preferred Plan - PPO
  • Florida Preferred Plan (Pediatric Only) - PPO
  • Florida Preferred Plus Plan - PPO
  • Florida Preferred Plus Plan (Pediatric Only) - PPO
  • Florida Wellness Essentials Plan - PPO
  • High PPO Dental Plan - PPO
  • High PPO Dental Plan (Pediatric Only) - PPO
  • Kansas Preferred Plan - PPO
  • Kansas Preferred Plan (Pediatric Only) - PPO
  • Kansas Wellness Essentials Plan - PPO
  • Low PPO Dental Plan - PPO
  • Low PPO Dental Plan (Pediatric Only) - PPO
  • Mississippi Preferred Plan - PPO
  • Mississippi Preferred Plan (Pediatric Only) - PPO
  • Mississippi Wellness Essentials Plan - PPO
  • TruAssure Basic Adult or Child Dental Plan - PPO
  • TruAssure Preferred Adult or Child Dental Plan - PPO
  • TruAssure Preventive Dental Plan - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Mau Pham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 09-14-2015

  • Opt-Out End Date: 09-14-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for DR. MAU K. PHAM DDS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174708119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441401612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 4 + 0 + 1 + 6 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1174708119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770573834DR. ALLEN CLARENCE WHITFORD JR. D.O.
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1962481945 FRANCISCO G CIGARROA MD
Individual
Transplant Surgery4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1497724934 MARLO MAGSANOC NICOLAS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 567-4003
1215997507DR. CRAIG W COOLEY MD
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1215982434 STANLEY SCOTT OATMAN P.A-C
Individual
Physician Assistant4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-1972
1770526162DR. TRACY R JOHNSON MD
Individual
Physical Medicine & Rehabilitation4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2710
1295758977 JOHN S RICHARDSON MD
Individual
Anesthesiology4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1447266184 CLAUDIO F ZEBALLOS M.D.
Individual
Emergency Medicine4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1770590481 GRAZYNA M. THOMAS PA
Individual
Physician Assistant4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-2078
1699786566 SUSAN H NOORILY M.D.
Individual
Anesthesiology4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1922019447 THEODORE AREVALO MD
Individual
Hospitalist4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1568473080 MARIA BARNES CNM
Individual
Advanced Practice Midwife4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1932110459 SHERRY L. WERNER M.D.
Individual
Pathology (Anatomic Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 358-4000
1114030319 STEPHEN CODY MD
Individual
Pediatrics4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 592-0400
1275646390 SHIRLEY DOEPKE CRNA
Individual
Nurse Anesthetist, Certified Registered4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1614
1376650440 BALAKUNTALAM KASINATH MD
Individual
Internal Medicine (Nephrology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1902913072 DEAN KELLOGG, JR MD
Individual
Family Medicine (Geriatric Medicine)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1316054380 LOUISE BRUMFIELD CRNA
Individual
Nurse Anesthetist, Certified Registered4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1225145295 EUGENIA BRYAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400
1023125192 CYNTHIA BLANCO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)4502 MEDICAL DR
SAN ANTONIO, TX 78229
(210) 257-1400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174708119, enumerated in the NPI registry as an "individual" on January 09, 2008

The provider is located at 4502 Medical Dr San Antonio, Tx 78229 and the phone number is (210) 358-2015

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Antidote Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

No, the provider signed an affidavit on September 14, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until September 14, 2025.

This NPI record was last updated on January 09, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.