Active NPI
Than Win, M.D.
- Internal Medicine Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD15430
- Practice address
- 455 Toll Gate Rd
Warwick, RI 02886-2759 - Phone
- (401) 737-7000
- Fax
- (401) 736-3546
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-089322 | IL | |
| Hospitalist Physician | 208M00000X | MD20096 | ME | |
| Internal Medicine Physician | 207R00000X | MD15430 | RI | Primary |
Addresses
Primary practice location
455 Toll Gate Rd
Warwick, RI 02886-2759
Mailing address
PO Box 5478
Elgin, IL 60121-5478
Phone (815) 436-6814
Other practice location 1
1975 Lin Lor Ln
Suite 285
Elgin, IL 60123-4902
Phone (847) 608-7542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04532493 | Other | IL | BCBS IL |
| 036-089322 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, TX, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-089322 | IL | MD | Internal Medicine Physician |
| MD15430 | RI | MD | Internal Medicine Physician |
| MD20096 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Hni Medical Services | Internal Medicine | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Current | Accepting new patients | |
| Tuba City Regional Health Care Corporation | Internal Medicine | Current | Accepting new patients |
| Bridgton Hospital | Current | Accepting new patients | |
| Prime Healthcare Services Landmark LLC | Current | Accepting new patients | |
| Internamed, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 1653
Chicago, IL 60675
10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000
364 Main St
Lewiston, ME 04240
Phone (207) 795-5646
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
7500 Rialto Blvd
Ste 1-140
Austin, TX 78735
Interoperability endpoints
- twin@direct.carene.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Landmark Health Services
- Hematology & Oncology Physician
- Woonsocket, RI
- NPI 1518388651
-
- Critical Access Hospital
- Bridgton, ME
- NPI 1154370153
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
dba Tuba City Indian Medical Center
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
Internal Medicine, TX
-
dba Landmark Medical Center
- General Acute Care Hospital
- Woonsocket, RI
- NPI 1699752923
-
dba Bridgton Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Bridgton, ME
- NPI 1477691467
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
-
dba Bodaway Gap Clinic
- Family Medicine Physician
- Bodaway Gap, AZ
- NPI 1710519913
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1376573527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1427098581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5478",
"city": "ELGIN",
"state": "IL",
"postal_code": "601215478",
"telephone_number": "815-436-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-737-7000",
"fax_number": "401-736-3546"
}
],
"practiceLocations": [
{
"address_1": "1975 Lin Lor Ln",
"address_2": "SUITE 285",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601234902",
"country_code": "US",
"telephone_number": "847-608-7542",
"fax_number": "847-608-9812",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIN",
"first_name": "THAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-089322",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ME",
"license": "MD20096",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD15430",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "04532493",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-089322",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.