NPIMap

Individual provider Active NPI

Thanh V DO, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1083663033
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J5087 Issued in TX
Practice address
8278 Bellaire Blvd Ste a
Houston, TX 77036-4091
Phone
(281) 496-1010
Fax
(281) 599-1506
NPI assigned
May 8, 2006
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J5087 TX Primary

Addresses

Primary practice location

8278 Bellaire Blvd Ste a
Houston, TX 77036-4091

Mailing address

21015 Crystal Greens Dr
Katy, TX 77450-8650
Phone (832) 578-6958

Other identifiers 5

IdentifierTypeStateIssuer
1490443-04MedicaidTX
8M1457OtherTXBCBS
8K3100OtherTXBLUE CROSS BLUE SHIELD
P00346948OtherTXRR MCARE
149044305MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001202 TX Practitioner - Internal Medicine 1658262506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8278 Bellaire Blvd
Suite a
Houston, TX 77036-4091
Phone (832) 578-6958

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5087TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thanh Van DO, M. D., P. a. CurrentSince Feb 27, 2003 Accepting new patients
Casper Wendies Incorporated CurrentSince Jul 1, 2024 Accepting new patients
Center for Integrated Medicine, PA Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Innovative Health Professionals PLLC Past Accepting new patients

Locations

10000 Harwin Dr
Ste A
Houston, TX 77036
Phone (281) 657-1500

12121 Richmond Ave
Ste 216
Houston, TX 77082
Phone (281) 633-4925

8278 Bellaire Blvd
Ste A
Houston, TX 77036
Phone (713) 272-8858

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3722/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFCHCD/Endpoint/HFCHCD
  • Direct secure messaging: thanh.do.1@13131.direct.athenahealth.com
  • Direct secure messaging: thanh.do.1@3722.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Htown Hospice LLCMissouri City, TX, CCN 971589 Hospice Contracted Managing Employee Feb 3, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 8

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1083663033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 CRYSTAL GREENS DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774508650",
            "telephone_number": "832-578-6958",
            "fax_number": "281-599-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8278 BELLAIRE BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364091",
            "telephone_number": "281-496-1010",
            "fax_number": "281-599-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THANH",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490443-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M1457",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8K3100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00346948",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149044305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.