Individual provider Active NPI

Thais Moldovan, M.D.

  • Rheumatology Physician
  • Media, PA
National Provider Identifier
1699902643
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD452238 Issued in PA
Practice address
1022 E Baltimore Pike
Media, PA 19063-5197
Phone
(484) 428-3336
Fax
(484) 301-0607
NPI assigned
Jun 17, 2009
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT194296 PA
Rheumatology Physician 207RR0500X MD452238 PA Primary

Addresses

Primary practice location

1022 E Baltimore Pike
Media, PA 19063-5197

Mailing address

1022 E Baltimore Pike
Media, PA 19063-5197
Phone (484) 428-3336

Other names 1

  • Dr. Thais Botelho de Mendonca Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140903000028 PA Practitioner - RheumatologyPractitioner - Internal Medicine 7315165479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1022 E Baltimore Pike
Unit B
Media, PA 19063-5197
Phone (484) 428-3336

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.2 of 100Reported as individual
Quality
82.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT194296PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Care Center PLLC Rheumatology CurrentSince Jan 21, 2016 Accepting new patients

Locations

1022 E Baltimore Pike
Media, PA 19063
Phone (484) 428-3336

1022 E Baltimore Pike
Unit B
Media, PA 19063
Phone (484) 428-3336

3551 Rhoads Ave
Ste A
Newtown Square, PA 19073
Phone (610) 359-6230

Organizations & group practices 1

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.

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1699902643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635197",
            "telephone_number": "484-428-3336",
            "fax_number": "484-301-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E BALTIMORE PIKE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635197",
            "telephone_number": "484-428-3336",
            "fax_number": "484-301-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOVAN",
        "first_name": "THAIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194296",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD452238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THAIS",
            "last_name": "MENDONCA",
            "middle_name": "BOTELHO DE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.