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

Michael Pham, PA-C

Individual provider Physician Assistant · NPI 1003458837

Michael Pham, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4350 Maple Rd
Buffalo, NY 14226-1027
Phone: (716) 829-3316
Fax: (716) 829-2564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1003458837
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2019
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address4350 Maple Rd, Buffalo, NY 14226-1027

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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