Individual provider Active NPI

Thanh Cam Trieu, M.D.

  • Vascular & Interventional Radiology Physician
  • Normal, IL
National Provider Identifier
1689791576
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036107094 Issued in IL
Practice address
1304 Franklin Ave
Normal, IL 61761-3558
Phone
(309) 454-1400
NPI assigned
Mar 23, 2007
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 27239 SC
Vascular & Interventional Radiology Physician 2085R0204X 01058353A IN
Vascular & Interventional Radiology Physician 2085R0204X 036107094 IL Primary

Addresses

Primary practice location

1304 Franklin Ave
Normal, IL 61761-3558

Mailing address

611 W. Park St
Fapc
Urbana, IL 61801

Other practice location 1

1210 W Faris Rd
Greenville, SC 29605-4444
Phone (864) 522-1800

Other practice location 2

2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 583-3332

Other practice location 3

9427 Grand Prix Ln
Boynton Beach, FL 33472-2798
Phone (843) 670-0837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, FL, CA, SC, GA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20050928001325 IL Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 2 organizations
I20060320000176 IA Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 1 organization
I20121207000136 FL Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 2 organizations
I20160629002299 CA Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 1 organization
I20170614001436 SC Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 4 organizations
I20171030003291 GA Practitioner - Diagnostic Radiology 0446202972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Radiology Associates LLCGroup PAC ID 2769829522, 74 clinicians
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians

Practice addresses (Care Compare)

Boynton Beach, FL 33472
Phone (469) 757-1042

1 Saint Francis Dr
Greenville, SC 29601-3955
Phone (747) 293-9005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84890CAMDPharmacist
01058353AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jun 3, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Aug 5, 2018 Accepting new patients
Tidelands and Medquest Joint Venture, LLC CurrentSince Jan 1, 2026 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Nov 27, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Mar 29, 2021 Accepting new patients
Musc Community Physicians CurrentSince Nov 24, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince May 9, 2023 Accepting new patients
Florida Radiology Associates LLC Diagnostic Radiology CurrentSince Mar 29, 2025 Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
Tidelands Health Market Common LLC CurrentSince Jan 1, 2026 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Prisma Health University Medical Group Diagnostic Radiology CurrentSince Jun 3, 2024 Accepting new patients
South Georgia Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 10, 2017 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince May 4, 2025 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Mar 25, 2024 Accepting new patients
Musc Community Physicians CurrentSince Nov 24, 2025 Accepting new patients
Radiology Group LLC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Rockledge LLP Diagnostic Radiology Past Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
South Georgia ER Services, LLC Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

163 E Tollison St
Baxley, GA 31513
Phone (912) 367-9847

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

120 Gateway Corporate Blvd
Columbia, SC 29203
Phone (803) 256-5320

1519 Marion St
Columbia, SC 29201
Phone (803) 296-5513

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

1210 W Faris Rd
Greenville, SC 29605
Phone (864) 295-4410

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

Interoperability endpoints

  • Direct secure messaging: ttrieu628407@direct.unitypoint.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 10

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1689791576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W. PARK ST",
            "address_2": "FAPC",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "61801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 FRANKLIN AVE",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613558",
            "telephone_number": "309-454-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 W Faris Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054444",
            "country_code": "US",
            "telephone_number": "864-522-1800",
            "fax_number": "864-522-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-583-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9427 Grand Prix Ln",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334722798",
            "country_code": "US",
            "telephone_number": "843-670-0837",
            "fax_number": "815-285-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "THANH",
        "middle_name": "CAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "27239",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01058353A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036107094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.