Peter Pham, DPM

Public-record details

Address

17200 Nw Corridor CT Ste 108, Beaverton, OR 97006

Phone

(503) 292-9252

Listed under

Individual podiatrists, Telehealth (Medicare claims)

NPI

1568877264

NPI status

Active in the NPPES registry

Provider type

Individual provider

Registered specialty (self-reported taxonomy)

Podiatrist (213E00000X)

Credentials listed

DPM

License number on NPI record

T52-2014 (TX)

NPI first issued

Jun 23, 2014

Years since NPI first issued

12 years (since 2014)

License state on NPI record

TX

NPI record last updated

Dec 18, 2018

Medicare enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians

Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Telehealth (CMS)

Medicare claims show telehealth services

Professional school graduation (CMS)

2014 (12 years ago)

Medicare group practice (CMS)

Northwest Extremity Specialists LLC (21 clinicians)

Practice locations on file with Medicare (CMS)

2

Other practice locations (NPPES)

2: Houston, TX; Portland, OR

Other podiatry listings at this street address

2

NPI 1568877264 is active in the federal NPPES registry (CMS) with Podiatrist as its self-reported primary taxonomy; license T52-2014 (TX) is listed on the record. CMS Doctors & Clinicians lists this clinician as enrolled in Medicare. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Podiatrist Index does not vet, employ, recommend or guarantee podiatry practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Podiatrist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Podiatrists hold a Doctor of Podiatric Medicine (DPM) degree and are licensed by each state to treat the foot and ankle; the scope, especially for ankle surgery, varies by state. A registered specialty is not board certification. Confirm the license with the state podiatry board and board certification with the American Board of Foot and Ankle Surgery or the American Board of Podiatric Medicine.

View NPI 1568877264 in the official registry ↗

Practices and podiatrists at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Brian Orahood, DPM
• Oregon Foot and Ankle Specialists, LLC (practice/organization)