Individual provider Active NPI

Maung Htein Thu, M.D

  • Urology Physician
  • Saint Louis, MO
National Provider Identifier
1063893949
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2022037105 Issued in MO
Practice address
12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone
(314) 543-5270
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2022037105 MO Primary
Urology Physician 208800000X 036153406 IL

Addresses

Primary practice location

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288

Mailing address

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone (314) 543-5270

Other practice location 1

1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (636) 931-5080

Other names 1

  • James Thu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230218000090 MO Practitioner - Urology 7012221922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Meharry Medical College School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Urology LLCGroup PAC ID 5395768253, 26 clinicians

Practice addresses (Care Compare)

12700 Southfork Rd
Suite 260
Saint Louis, MO 63128-3288
Phone (314) 251-8850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Urology LLC Urology CurrentSince Feb 20, 2023 Accepting new patients
HSHS Medical Group Inc PastSince Jun 1, 2020 Accepting new patients

Locations

1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055

607 S New Ballas Rd
Ste 3100
Saint Louis, MO 63141
Phone (314) 251-4260

12700 Southfork Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-8850

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1063893949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 US Highway 61 Ste N1500",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284137",
            "country_code": "US",
            "telephone_number": "636-931-5080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THU",
        "first_name": "MAUNG HTEIN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2022037105",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036153406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "THU",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.