Individual provider Active NPI

Thanh T Van, M.D.

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1679550453
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L1489 Issued in TX
Practice address
4502 Medical Dr
Ste 215
San Antonio, TX 78229-4402
Phone
(210) 358-4000
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X L1489 TX
Diagnostic Radiology Physician 2085R0202X L1489 TX Primary

Addresses

Primary practice location

4502 Medical Dr
Ste 215
San Antonio, TX 78229-4402

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (210) 358-4000

Other identifiers 1

IdentifierTypeStateIssuer
144198508MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 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
I20040723000735 TX Practitioner - Diagnostic Radiology 5799765210 Reassigns benefits to 1 organization
I20181217003180 VA Practitioner - Diagnostic Radiology 5799765210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Williamsburg, VA 23188-5713
Phone (757) 736-1000

11803 Jefferson Ave
Newport News, VA 23606-2565
Phone (757) 736-1000

3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2465

600 Gresham Dr
Norfolk, VA 23507-1904

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 466-6870

Hospital & facility affiliations

  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jan 11, 2016 Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Jan 11, 2016 Accepting new patients
Four Seasons Breast Foundation Past Accepting new patients
University of Texas Health Science Center at San Antonio Past Accepting new patients
Radiology Imaging Associates, LLP Diagnostic Radiology Past Accepting new patients
M&S Radiology Associates, PA Past Accepting new patients
Radiology Associates of San Antonio,P.a. Diagnostic Radiology Past Accepting new patients

Locations

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700

8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4502 Medical Dr
Ste 215
San Antonio, TX 78229

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000

6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

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 6

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1679550453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "address_2": "STE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "THANH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "L1489",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144198508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.