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Dr. Justin Hung Pham, M.D.

Diagnostic Radiology Physician in Rockford, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821040866

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Registry record

Entity type Individual (Type 1)
Name Dr. Justin Hung Pham
Credential M.D.
Sex Male
Practice address 8201 E Riverside Blvd, Rockford, IL, 61114
Enumeration date May 17, 2006
Last updated in NPPES Jan 13, 2026

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License P3059 (TX) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD16575 (RI) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 036120081 (IL) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 21973 (MS) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License A72116 (CA) Primary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD2007-0239 (NM) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
00A711260 Other - BLUE SHIELD
7100056140 Medicaid KY -
2927677 Medicaid OH -
00A711260 Medicaid CA -
102062266 0005 Medicaid PA -
102062266 0001 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Justin Pham?
Justin Pham is registered in NPPES with the primary taxonomy of Diagnostic Radiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-13.