Active NPI
Dat Thanh DO, M.D.
- Interventional Cardiology Physician
- Modesto, CA
National Provider Identifier
1962508325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A76728
- Practice address
- 1540 Florida Ave Ste 100
Modesto, CA 95350-4430 - Phone
- (209) 577-5557
- Fax
- (209) 579-7246
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A76728 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | M1639 | TX | |
| Interventional Cardiology Physician | 207RI0011X | A76728 | CA | Primary |
Addresses
Primary practice location
1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Mailing address
1540 Florida Ave Ste 100
Modesto, CA 95350-4430
Phone (209) 577-5557
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199673801 | Medicaid | TX | |
| 8BW903 | Other | TX | BCBS |
| 199673802 | Other | TX | CSHCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Cardiovascular Disease (Cardiology)
- Education
- University of Texas Medical School at San Antonio, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1051 E Tuolumne Rd
Suite 101
Turlock, CA 95382-1546
Phone (209) 632-2200
1540 Florida Ave
Suite 100
Modesto, CA 95350-4430
Phone (209) 577-5557
Hospital & facility affiliations
- Careone Home Health and Hospice, Inc
- Doctors Medical Center
- Adventist Health Sonora
- Memorial Medical Center
- Emanuel Medical Center
- Oak Valley Hospital District
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.35 of 100
- Quality
- 88.32
- Improvement activities
- 40
- Cost
- 77.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 64 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76728 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Heart Associates Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Doctors Medical Center of Modesto | Past | Accepting new patients |
Locations
4016 Dale Rd
Modesto, CA 95356
Phone (209) 571-0288
1540 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 544-3236
1051 E Tuolumne Rd
Ste 101
Turlock, CA 95382
Phone (209) 632-2200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dat.do.p1@direct.vhamg.nextgenshare.com
- dat.do.p107@direct.tenet.nextgenshare.com
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Modesto, CA
- NPI 1689614562
-
- Family Medicine Physician
- Patterson, CA
- NPI 1073944393
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
- General Acute Care Hospital
- Oakdale, CA
- NPI 1346381415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1962508325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 FLORIDA AVE STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504430",
"telephone_number": "209-577-5557",
"fax_number": "209-579-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 FLORIDA AVE STE 100",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504430",
"telephone_number": "209-577-5557",
"fax_number": "209-579-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "DAT",
"middle_name": "THANH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A76728",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "M1639",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A76728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199673801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8BW903",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "199673802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.