NPIMap

Individual provider Active NPI

Thet Lin Tun, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Vero Beach, FL
National Provider Identifier
1295742476
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME97641 Issued in FL
Practice address
1300 36TH St
Suite 1G
Vero Beach, FL 32960-4898
Phone
(772) 562-3960
Fax
(772) 562-3969
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME 97641 FL
Internal Medicine Physician 207R00000X ME97641 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME97641 FL Primary

Addresses

Primary practice location

1300 36TH St
Suite 1G
Vero Beach, FL 32960-4898

Mailing address

1300 36TH St
Suite 1G
Vero Beach, FL 32960-4898
Phone (772) 562-3960

Other identifiers 1

IdentifierTypeStateIssuer
91209OtherFLBCBS OF FL

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
I20080104000616 FL Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 6406852482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 36TH St
1G
Vero Beach, FL 32960-4898
Phone (772) 562-3960

Hospital & facility affiliations

  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • Acts Home Health Agency of Florida Home health agency, Vero Beach, FL, CCN 687261
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217

Merit-based Incentive Payment System (MIPS)

Final score
98.84 of 100Reported as individual
Quality
97.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97641FLMDHospice and Palliative Medicine (Internal Medicine) Physician
ME 97641FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Primary Care PA Internal Medicine CurrentSince Sep 25, 2013 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 1, 2011 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 1, 2011 Accepting new patients
Cogent Healthcare of Ocala, LLC Internal Medicine Past Accepting new patients
Smart Life Consult LLC Internal Medicine Past Accepting new patients
Family Internal Medicine, PA Internal Medicine Past Accepting new patients
Anteneh Addisu MD PA Internal Medicine Past Accepting new patients
Central Montgomery Medical Center LLC Hospitalist Past Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1300 36th St
Ste 1G
Vero Beach, FL 32960
Phone (772) 562-3960

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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 7

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1295742476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 36TH ST",
            "address_2": "SUITE 1G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-562-3960",
            "fax_number": "772-562-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST",
            "address_2": "SUITE 1G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-562-3960",
            "fax_number": "772-562-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUN",
        "first_name": "THET",
        "middle_name": "LIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME 97641",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME97641",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME97641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "91209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.