Individual provider Active NPI

Hue C Thai, MD

  • Vascular Surgery Physician
  • Jackson, MI
National Provider Identifier
1730333071
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301102850 Issued in MI
Practice address
300 W Washington Ave Ste 300
Jackson, MI 49201-2160
Phone
(517) 205-1305
Fax
(517) 205-1306
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301102850 MI
Vascular Surgery Physician 2086S0129X ME 124176 FL
Vascular Surgery Physician 2086S0129X ME124176 FL
Vascular Surgery Physician 2086S0129X 4301102850 MI Primary

Addresses

Primary practice location

300 W Washington Ave Ste 300
Jackson, MI 49201-2160

Mailing address

300 W Washington Ave Ste 300
Jackson, MI 49201-2160
Phone (517) 205-1305

Other practice location 1

2401 Frist Blvd Ste 4
Fort Pierce, FL 34950-4800
Phone (772) 595-5302

Other practice location 2

2401 Frist Blvd Ste 4
Fort Pierce, FL 34950
Phone (772) 595-5302

Other practice location 3

5325 Elliott Dr Ste 101
Ypsilanti, MI 48197
Phone (734) 712-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180911000274 MI Practitioner - Vascular Surgery 2860701752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

5325 Elliott Dr
Suite 101
Ypsilanti, MI 48197-8633
Phone (734) 712-8272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal30
Leg revascularization (restoring blood flow)30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102850MIMDSurgery Physician
ME 124176FLMDVascular Surgery Physician
ME124176FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Nov 6, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
W. a. Foote Memorial Hospital, Inc Current Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2018 Accepting new patients
Iha Health Services Corporation Vascular Surgery CurrentSince Oct 1, 2018 Accepting new patients
W.a. Foote Memorial Hospital, Inc Vascular Surgery CurrentSince Nov 6, 2023 Accepting new patients
Palm Beach Vascular & Vein Associates LLC Vascular Surgery PastSince Oct 18, 2017 Accepting new patients
Iha Health Services Corporation Past Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

1600 S Canton Center Rd
Ste 2200
Canton, MI 48188
Phone (208) 891-5673

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

300 W Washington Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1305

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5325 Elliott Dr
Ste 101
Ypsilanti, MI 48197
Phone (734) 712-8272

Interoperability endpoints

  • Direct secure messaging: hthai936908@direct.hfhs.org
  • Direct secure messaging: hthai45651@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1730333071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012160",
            "telephone_number": "517-205-1305",
            "fax_number": "517-205-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 300",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012160",
            "telephone_number": "517-205-1305",
            "fax_number": "517-205-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Frist Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349504800",
            "country_code": "US",
            "telephone_number": "772-595-5302",
            "fax_number": "772-595-5304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Frist Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "34950",
            "country_code": "US",
            "telephone_number": "772-595-5302",
            "fax_number": "772-595-5304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5325 Elliott Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "48197",
            "country_code": "US",
            "telephone_number": "734-712-8272",
            "fax_number": "734-712-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "HUE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301102850",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME 124176",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME124176",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301102850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.