NPIMap

Individual provider Active NPI

San Htut Thiha, MD

  • Internal Medicine Physician
  • Merritt Island, FL
National Provider Identifier
1285678995
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME95764 Issued in FL
Practice address
45 McLeod St
Merritt Island, FL 32953-3532
Phone
(321) 452-2016
Fax
(321) 452-5728
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 ME95764 FL Primary

Addresses

Primary practice location

45 McLeod St
Merritt Island, FL 32953-3532

Mailing address

45 McLeod St
Merritt Island, FL 32953-3532
Phone (321) 452-2016

Other practice location 1

1395 N Courtenay Pkwy Ste 200
Merritt Island, FL 32953-4475
Phone (321) 459-1333

Other identifiers 1

IdentifierTypeStateIssuer
275260300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060712000194 FL Practitioner - Internal Medicine 3971516063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

45 McLeod St
Merritt Island, FL 32953-3532
Phone (321) 452-2016

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Melbourne, FL, CCN 687040
  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Medical Care LLC CurrentSince Dec 31, 2009 Accepting new patients

Locations

1395 N Courtenay Pkwy
Ste 200
Merritt Island, FL 32953
Phone (321) 459-1333

45 McLeod St
Merritt Island, FL 32953
Phone (321) 452-2016

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 11

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1285678995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533532",
            "telephone_number": "321-452-2016",
            "fax_number": "321-452-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533532",
            "telephone_number": "321-452-2016",
            "fax_number": "321-452-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 N Courtenay Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534475",
            "country_code": "US",
            "telephone_number": "321-459-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIHA",
        "first_name": "SAN",
        "middle_name": "HTUT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275260300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.