Individual provider Active NPI

Minh P Thieu, M.D.

  • Dermatology Physician
  • Havertown, PA
National Provider Identifier
1710924980
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD425933 Issued in PA
Practice address
109 N Eagle Rd
Suite 2
Havertown, PA 19083-3400
Phone
(610) 789-7546
Fax
(610) 789-7547
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD425933 PA Primary

Addresses

Primary practice location

109 N Eagle Rd
Suite 2
Havertown, PA 19083-3400

Mailing address

109 N Eagle Rd
Suite 2
Havertown, PA 19083-3400
Phone (610) 789-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20050804001044 PA Practitioner - Dermatology 3779512272 Reassigns benefits to 1 organization
I20060117000332 DE Practitioner - Dermatology 3779512272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minh Thieu, MD, PCGroup PAC ID 8820212657, 3 clinicians

Practice addresses (Care Compare)

109 N Eagle Rd
Suite 2
Havertown, PA 19083-3400
Phone (610) 789-7546

1202 Foulk Rd
Suite a
Wilmington, DE 19803-2796
Phone (610) 789-7546

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
85.6
Promoting interoperability
100
Improvement activities
40
Cost
63.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision54
Removal of skin lesions1223
Removal or shaving of skin growth506
Skin biopsy296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425933PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minh Thieu, MD, PC Dermatology CurrentSince Apr 15, 2014 Accepting new patients
David Dieu DMD, MD, PA PastSince Jan 31, 2018 Accepting new patients
Atlantic Skin & Cosmetic Surgery Group, P.C. Dermatology Past Accepting new patients

Locations

1202 Foulk Rd
Ste A
Wilmington, DE 19803
Phone (302) 273-8300

109 N Eagle Rd
Havertown, PA 19083

109 N Eagle Rd
Ste 2
Havertown, PA 19083
Phone (610) 789-7546

Organizations & group practices 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1710924980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N EAGLE RD",
            "address_2": "SUITE 2",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833400",
            "telephone_number": "610-789-7546",
            "fax_number": "610-789-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N EAGLE RD",
            "address_2": "SUITE 2",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833400",
            "telephone_number": "610-789-7546",
            "fax_number": "610-789-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEU",
        "first_name": "MINH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD425933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.