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

Dr. Maikhoi T Pham, DPM, MBA

Individual provider Podiatrist · NPI 1811273600

Dr. Maikhoi T Pham, DPM, MBA is a Podiatry in Port St Lucie, Florida. Graduated from Barry University School of Podiatric Medicine in 2009, 17 years ago. Practices with Conviva Specialty LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
17
Trained at
Barry University School of Podiatric Medicine
Licensed in
FL, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

538 SE Port St Lucie Blvd
Port St Lucie, FL 34984-5108
Phone: (772) 871-5900
Fax: (772) 871-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 903 Se Monterey Commons Blvd, Stuart, FL 34996-3339 — (772) 266-5003

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3506 (FL)
Podiatrist Taxonomy 213E00000X · Licence 2029 (TX)

Record details

NPI number1811273600
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM , MBA
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESNovember 13, 2020
Certification dateNovember 13, 2020

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Conviva Specialty Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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