Individual provider Active NPI

Than Win, M.D.

  • Internal Medicine Physician
  • Warwick, RI
National Provider Identifier
1427098581
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15430 Issued in RI
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

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04532493OtherILBCBS IL
036-089322MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX, RI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140911001284 ME Practitioner - Internal Medicine 3173526167 Reassigns benefits to 1 organization
I20140930001302 TX Practitioner - Internal Medicine 3173526167 Reassigns benefits to 2 organizations
I20160829003361 RI Practitioner - Internal Medicine 3173526167 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089322ILMDInternal Medicine Physician
MD15430RIMDInternal Medicine Physician
MD20096MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Oct 20, 2014 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 19, 2016 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Oct 20, 2014 Accepting new patients
Hni Medical Services Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Bridgton Hospital CurrentSince Dec 5, 2016 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 13, 2014 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine CurrentSince Aug 13, 2014 Accepting new patients
Bridgton Hospital CurrentSince Dec 5, 2016 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Nov 19, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.