Khanh Pham Thieu, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD454380 Issued in PA

Practice address

109 N Eagle Rd
Suite 2
Havertown, PA 19083-3400

Phone

(610) 789-7546

Fax

(610) 789-7546

NPI assigned

Mar 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Dermatology

Education

Harvard Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minh Thieu, MD, PCGroup PAC ID 8820212657, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Minh Thieu, MD, PC

  • Dermatology Physician
  • Havertown, PA
  • NPI 1306261243

  DE

  Medicare reassignment Care Compare group NPD
• Julia H Cohen, MD, PC

  • Dermatology Physician
  • Havertown, PA
  • NPI 1548354228
  NPD (past)
• David Dieu DMD, MD, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
  • NPI 1659739456
  NPD (past)
• Schweiger Dermatology PLLC

  • Dermatology Physician
  • New York, NY
  • NPI 1831438662
  NPD (past)

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1093030462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N EAGLE RD",
            "address_2": "SUITE 2",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833400",
            "telephone_number": "610-789-7546",
            "fax_number": "610-789-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N EAGLE RD",
            "address_2": "SUITE 2",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833400",
            "telephone_number": "610-789-7546",
            "fax_number": "610-789-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Foulk Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198032796",
            "country_code": "US",
            "telephone_number": "610-789-7546",
            "fax_number": "610-789-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIEU",
        "first_name": "KHANH",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C1-0012141",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD454380",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "DE",
            "license": "C1-0012141",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD454380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Lihn Center for Psychology
• The Mending Space LLC
• Theodore J. Blinder DDS Asso
• Therapy Works for Kids
• Therapy Works for Kids LLC
• Minh P Thieu, M.D.
• Sharritha Lynise Thigpen-Wyatt, M.S., CCC-SLP
• Thomas E Klein MD PC
• Nicole Thomas, PA-C
• Katherine Ann Thompson-Mayes, CRNP

• Dermatology Physician in Havertown, PA
• Providers in Havertown, PA by specialty
• Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.