Individual provider Active NPI

Thanh Thien Ha Lan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Winnetka, IL
National Provider Identifier
1124310842
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
125056493 Issued in IL
Practice address
960 Old Green Bay Rd Apt 3N
Winnetka, IL 60093-1710
Phone
(224) 247-8870
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD222721 OR
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 125056493 IL Primary

Addresses

Primary practice location

960 Old Green Bay Rd Apt 3N
Winnetka, IL 60093-1710

Mailing address

2225 Enterprise Dr Ste 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Other practice location 1

966 12th St SE Ste 130
Salem, OR 97302-2860
Phone (503) 837-6395

Other practice location 2

2225 Enterprise Dr Ste 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Other names 1

  • Thanh Thien Ha Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thanhlan@uropart.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR2 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

Enrollment IDStateProvider typePAC IDDetails
I20150731015547 IL Practitioner - Pathology 3072827245 Reassigns benefits to 2 organizations
I20241217002173 OR Practitioner - Pathology 3072827245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575

2225 Enterprise Dr
Suite 2511
Westchester, IL 60154-5805
Phone (708) 486-0076

Hospital & facility affiliations

  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD222721ORMDDermatopathology (Pathology) Physician
125056493ILMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Uropartners, LLC CurrentSince Sep 1, 2024 Accepting new patients
Clear Choice Dermatology CurrentSince Dec 13, 2024 Accepting new patients
Uropartners LLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

2245 Enterprise Dr
Ste 4506
Westchester, IL 60154

123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784

966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477

Interoperability endpoints

  • Direct secure messaging: thanhlan@uropart.allscriptsdirect.net

Organizations & group practices 5

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 1

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1124310842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 ENTERPRISE DR STE 2511",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545805",
            "telephone_number": "708-486-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OLD GREEN BAY RD APT 3N",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931710",
            "telephone_number": "224-247-8870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 12th St SE Ste 130",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022860",
            "country_code": "US",
            "telephone_number": "503-837-6395",
            "fax_number": "541-210-8913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 Enterprise Dr Ste 2511",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545805",
            "country_code": "US",
            "telephone_number": "708-486-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAN",
        "first_name": "THANH",
        "middle_name": "THIEN HA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "OR",
            "license": "MD222721",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "125056493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thanhlan@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2225 Enterprise Dr Ste 2511",
            "city": "Westchester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601545805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THANH",
            "last_name": "HA",
            "middle_name": "THIEN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

Verify at the official NPI Registry.