Active NPI
Mai Ly Thor
- Family Medicine Physician
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 72351
- Practice address
- 980 Rice St
Saint Paul, MN 55117-4949 - Phone
- (651) 326-9020
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 72351 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
980 Rice St
Saint Paul, MN 55117-4949
Mailing address
980 Rice St
Saint Paul, MN 55117-4949
Phone (651) 326-9020
Other practice location 1
2901 W Oklahoma Ave
Milwaukee, WI 53215-4329
Phone (414) 219-7427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6700
Hospital & facility affiliations
- Accentcare Fairview Home Health - East LLC
- Accentcare Fairview Home Health - West, LLC
- M Health Fairview St John'S Hospital
- M Health Fairview University of MN Medical Center
- M Health Fairview Woodwinds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72351 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Health Services | Family Medicine | Current | Accepting new patients |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Past | Accepting new patients |
Locations
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
980 Rice St
Saint Paul, MN 55117
Phone (651) 326-9020
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800
1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700
Interoperability endpoints
- mthor319711@fairview.direct-ci.com
Organizations & group practices 15
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.
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Eyewear Supplier
- Brooklyn Park, MN
- NPI 1528241718
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- Multi-Specialty Clinic/Center
- Maplewood, MN
- NPI 1003577420
-
- Internal Medicine Physician
- Saint Paul, MN
- NPI 1508191552
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oakdale, MN
- NPI 1184230948
-
- Home Health Agency
- Saint Paul, MN
- NPI 1477169233
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1902369705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551174949",
"telephone_number": "651-326-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551174949",
"telephone_number": "651-326-9020"
}
],
"practiceLocations": [
{
"address_1": "2901 W Oklahoma Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532154329",
"country_code": "US",
"telephone_number": "414-219-7427",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOR",
"first_name": "MAI",
"middle_name": "LY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "72351",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.