Individual provider Active NPI

Thien Quang DO, FNP-BC

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1811791007
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025003771 Issued in FL
Practice address
7932 W Sand Lake Rd Ste 200
Orlando, FL 32819-7299
Phone
(407) 355-7759
Fax
(407) 355-4987
NPI assigned
Apr 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025003771 FL Primary

Addresses

Primary practice location

7932 W Sand Lake Rd Ste 200
Orlando, FL 32819-7299

Mailing address

935 Oasis Palm Cir Apt 3405
Ocoee, FL 34761-3391
Phone (352) 209-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251204004556 FL Practitioner - Nurse Practitioner 2365935590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Mahnaz Qayyum Medical Enterprises LLCGroup PAC ID 1658522818, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

7932 W Sand Lake Rd
Orlando, FL 32819-7299
Phone (407) 355-7759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2025003771FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mahnaz Qayyum Medical Enterprises, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

7932 W Sand Lake Rd
Ste 200
Orlando, FL 32819
Phone (407) 355-7759

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1811791007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 OASIS PALM CIR APT 3405",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613391",
            "telephone_number": "352-209-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197299",
            "telephone_number": "407-355-7759",
            "fax_number": "407-355-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THIEN",
        "middle_name": "QUANG",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2025003771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.