Individual provider Active NPI

Khin Ma Ma Thein, M.D

  • Family Medicine Physician
  • Flushing, NY
National Provider Identifier
1487916367
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
280836 Issued in NY
Practice address
13739 45TH Ave
Cbwchc
Flushing, NY 11355-4094
Phone
(929) 362-3006
Fax
(929) 362-3026
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 280836 NY Primary

Addresses

Primary practice location

13739 45TH Ave
Cbwchc
Flushing, NY 11355-4094

Mailing address

13626 37TH Ave
Flushing, NY 11354-6533
Phone (718) 886-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180823000646 NY Practitioner - Family Practice 7113227067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Health Care Long IslandGroup PAC ID 5991970535, 24 clinicians

Practice addresses (Care Compare)

161 Hempstead Tpke
Elmont, NY 11003-1432
Phone (516) 571-8200

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Apr 21, 2020 Accepting new patients
Flushing Hospital Medical Center CurrentSince Apr 21, 2020 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2018 Accepting new patients
Jamaica Hospital CurrentSince Sep 1, 2018 Accepting new patients
Harmony Health Care Long Island CurrentSince Apr 1, 2025 Accepting new patients
Harmony Health Care Long Island CurrentSince Apr 1, 2025 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Charles B. Wang Community Health Center, Inc. Past Accepting new patients
Charles B. Wang Community Health Center, Inc. Past Accepting new patients

Locations

161 Hempstead Tpke
Elmont, NY 11003
Phone (516) 571-8200

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

619 Fulton Ave
Hempstead, NY 11550
Phone (516) 572-1300

14918 Jamaica Ave
Jamaica, NY 11435
Phone (718) 523-5500

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 9

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1487916367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 37TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546533",
            "telephone_number": "718-886-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13739 45TH AVE",
            "address_2": "CBWCHC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554094",
            "telephone_number": "929-362-3006",
            "fax_number": "929-362-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIN",
        "first_name": "KHIN MA MA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "280836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.