Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Khanh Ngoc Pham, MD

Individual provider Urology Physician · NPI 1538331665

Dr. Khanh Ngoc Pham, MD is an Urology in Bellevue, Washington. Graduated from Medical College of Wisconsin in 2008, 18 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Trained at
Medical College of Wisconsin
Licensed in
WA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1135 116th Ave NE Ste 620
Bellevue, WA 98004-4636
Phone: (425) 454-8016
Fax: (425) 453-2827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 751 Ne Blakely Dr Ste 4020, Issaquah, WA 98029-6201 — (425) 454-8016

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD60337799 (WA)

Record details

NPI number1538331665
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2008 (18 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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