Doctor profile · Federal record
Dr. Kelly Pham, MD
Pediatric Rehabilitation Medicine Physician (CMS: Physical Medicine and Rehabilitation) · Physical Medicine & Rehabilitation Physician · Physical Medicine & Rehabilitation Physician · Pediatric Rehabilitation Medicine Physician · Student in an Organized Health Care Education/Training Program · Vienna, VA
- NPI 1417274689
- Accepts Medicare
- 16 yrs in practice
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8230 Boone Blvd Ste 170
Vienna, VA 221822621
(571) 310-2502
fax (571) 413-0290 - Additional location
-
4800 Sand Point Way Ne, Department of Pediatric Rehabilitation Medicine
Seattle, WA 981053901
(206) 987-1766
fax (206) 987-2651
Credentials & registration
- NPI registered
- April 2010 — 16 yrs on file
- Profile last updated
- April 13, 2022
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 2081P0010X — NUCC code
- State licenses (3)
- Virginia #0101273373 · District of Columbia #185401 · Washington #FE60464961
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417274689. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$36
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 1 | $36.41 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Pham's medical specialty?
Dr. Kelly Pham practices Pediatric Rehabilitation Medicine Physician in Vienna, VA.
Where does Dr. Kelly Pham practice?
Dr. Kelly Pham practices at 8230 Boone Blvd Ste 170, Vienna, VA 221822621. Office phone: 5713102502.
What is Dr. Kelly Pham's NPI?
Dr. Kelly Pham's National Provider Identifier (NPI) is 1417274689, issued by NPPES.
Does Dr. Kelly Pham accept Medicare assignment?
Yes. Dr. Kelly Pham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.