Active NPI
Thanh Cam Trieu, M.D.
- Vascular & Interventional Radiology Physician
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036107094
- Practice address
- 1304 Franklin Ave
Normal, IL 61761-3558 - Phone
- (309) 454-1400
- NPI assigned
- Mar 23, 2007
- Last updated
- Jun 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84890 | CA | MD | Pharmacist |
| 01058353A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Tidelands and Medquest Joint Venture, LLC | Current | Accepting new patients | |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Kern County Hospital Authority | Current | Accepting new patients | |
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Florida Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Tidelands Health Market Common LLC | Current | Accepting new patients | |
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Prisma Health University Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| South Georgia Radiology Associates, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Carolina PC | Diagnostic Radiology | Current | Accepting new patients |
| Bon Secours Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Musc Community Physicians | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Leesburg, FL
- NPI 1497510978
-
dba Northern Light Radiology Associates
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1083491906
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba Kern Medical Center
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1376623538
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
dba Department of Radiology
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
dba Department of Radiology
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Diagnostic Radiology Physician
- Asheboro, NC
- NPI 1841015245
FL
-
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1760669931
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
dba Innervision Medical Imaging Center
- Radiology Clinic/Center
- Greenville, SC
- NPI 1417423088
Diagnostic Radiology
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
dba St. Francis Millennium
- Clinic/Center
- Greenville, SC
- NPI 1104052752
Hospital
-
dba St. Francis-Downtown
- General Acute Care Hospital
- Greenville, SC
- NPI 1730123175
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1467496802
-
dba Bon Secours Laboratory Services - Greenville
- Clinical Medical Laboratory
- Greenville, SC
- NPI 1972127017
Hospital
-
dba St. Francis Cancer Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1023418035
-
dba Bon Secours St. Francis Surgery Center
- General Acute Care Hospital
- Greenville, SC
- NPI 1376899856
-
dba UF Health Spanish Plaines Hospital
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.