Individual provider Active NPI

Thiha Tin, MD

  • Infectious Disease Physician
  • Mankato, MN
National Provider Identifier
1376527259
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
64092 Issued in AZ
Practice address
1015 Marsh St
Mankato, MN 56001-5294
Phone
(507) 389-4700
NPI assigned
Dec 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 46299 MN
Infectious Disease Physician 207RI0200X 64092 AZ Primary

Addresses

Primary practice location

1015 Marsh St
Mankato, MN 56001-5294

Mailing address

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, AZ2 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
I20031229000168 MN Practitioner - Infectious DiseasePractitioner - Internal Medicine 6709784887 Reassigns benefits to 1 organization
I20220124000601 AZ Practitioner - Infectious Disease 6709784887 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD. CurrentSince Jul 1, 2019 Accepting new patients
Maricopa County Special Health Care District CurrentSince Mar 3, 2025 Accepting new patients
Maricopa County Special Health Care District CurrentSince Mar 3, 2025 Accepting new patients
The Duluth Clinic, LTD CurrentSince Jul 1, 2019 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Past Accepting new patients

Locations

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

1101 N Central Ave
Ste 204
Phoenix, AZ 85004
Phone (602) 344-6550

1101 N Central Ave
Phoenix, AZ 85004
Phone (602) 307-5330

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

Interoperability endpoints

  • Direct secure messaging: ttin280411@direct.valleywisehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1376527259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-625-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015294",
            "telephone_number": "507-389-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIN",
        "first_name": "THIHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MN",
            "license": "46299",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AZ",
            "license": "64092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.