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

Kevin K Pham, DO

Individual provider Hospitalist Physician · NPI 1144754607

Kevin K Pham, DO is an Internal Medicine in Belleville, Illinois. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2017, 9 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-6220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 523 S Main St, Carrollton, IL 62016 — (217) 942-3326
  • 414 S State St, Roodhouse, IL 62082 — (217) 589-4383

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036157104 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036157104 (IL)

Record details

NPI number1144754607
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing addressPo Box 959354, Saint Louis, MO 63195-1863

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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