Individual provider Active NPI

Timothy James Thai, MSN, FNP-C

  • Family Medicine Physician
  • Penfield, NY
National Provider Identifier
1720593999
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
342344 Issued in NY
Practice address
2134 Penfield Rd
Penfield, NY 14526-1736
Phone
(585) 276-8280
NPI assigned
Dec 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342344 NY
Family Medicine Physician 207Q00000X 342344 NY Primary

Addresses

Primary practice location

2134 Penfield Rd
Penfield, NY 14526-1736

Mailing address

2134 Penfield Rd
Penfield, NY 14526-1736

Other practice location 1

42 Nichols St
Spencerport, NY 14559-2180
Phone (585) 349-7094

Other practice location 2

3400 Monroe Ave
Rochester, NY 14618-4725
Phone (585) 203-1055

Other practice location 3

1300 Jefferson Rd Ste 100
Rochester, NY 14623-3195
Phone (585) 413-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnervina82604@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412000379 NY Practitioner - Nurse Practitioner 5890058457 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of RochesterGroup PAC ID 5799699088, 960 clinicians
University of Rochester Urgent CareGroup PAC ID 2567772676, 63 clinicians

Practice addresses (Care Compare)

2047 W Ridge Rd
Rochester, NY 14626-2718
Phone (585) 276-1900

2134 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 276-8280

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 784-2972

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
68.61
Promoting interoperability
100
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
342344NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
University of Rochester CurrentSince Feb 17, 2018 Accepting new patients
University of Rochester Urgent Care CurrentSince Feb 17, 2018 Accepting new patients
University of Rochester CurrentSince Feb 17, 2018 Accepting new patients
Observation Associates of the University of Rochester CurrentSince Feb 17, 2018 Accepting new patients
University of Rochester Current Accepting new patients
Emergency Associates - University of Rochester CurrentSince Feb 17, 2018 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

2134 Penfield Rd
Penfield, NY 14526
Phone (585) 276-8280

300 Community Dr
Plandome, NY 11030

1300 Jefferson Rd
Ste 100
Rochester, NY 14623
Phone (585) 413-1800

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

3400 Monroe Ave
Rochester, NY 14618
Phone (585) 203-1055

42 Nichols St
Spencerport, NY 14559
Phone (585) 349-7094

Interoperability endpoints

  • Direct secure messaging: tnervina82604@direct.urmc.rochester.edu

Organizations & group practices 9

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1720593999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261736",
            "telephone_number": "585-276-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Nichols St",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145592180",
            "country_code": "US",
            "telephone_number": "585-349-7094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Monroe Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146184725",
            "country_code": "US",
            "telephone_number": "585-203-1055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Jefferson Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146233195",
            "country_code": "US",
            "telephone_number": "585-413-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342344",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "342344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnervina82604@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.