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THIENLY HUYNH D.O
NPI 1043620222
Student in an Organized Health Care Education/Training Program in Southampton, NY

Active since April 28, 2014PECOS Enrolled
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(916) 719-1591 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thienly Huynh D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIENLY HUYNH D.O (NPI 1043620222) is an individual student in an organized health care education/training program in Southampton, New York and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043620222
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHIENLY HUYNHCredential: D.O
Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009
Mailing Address35 Peconic RdSouthampton, NY 11968-3624 · (916) 719-1591
Phone(916) 719-1591
Sole ProprietorNo
Enumeration DateApril 28, 2014
Last NPPES UpdateDecember 17, 2021
✔ NPI 1043620222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
240 MEETING HOUSE LN, Southampton, NY 11968
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thienly Huynh D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thienly Huynh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,590 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KONSTADINOS J SPYRIS D.O.
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 560-3219
MICHAEL AMERES MD
Emergency Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 537-0318
ANTHONY JOHN VACCHIO
Internal Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200
KATELYN ANNE PIERSON MS,RD,CDN
Dietitian, Registered
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8233
RAMI AZZAM
Student in an Organized Health Care Education/Training Program
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
CRYSTAL JOY
Physician Assistant (Medical)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8476
TEIAH MOORE D.O.
Family Medicine
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-0409
DR. RIDDHISH SHETH MD
Pathology (Hematology)
240 MEETING HOUSE LN
SOUTHAMPTON, NY 11968
Suffolk County (631) 726-8200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thienly Huynh's NPI number?

The NPI number for Thienly Huynh is 1043620222. It was assigned to this individual provider in the NPPES registry on April 28, 2014.

Where is Thienly Huynh located?

Thienly Huynh practices at 240 Meeting House Ln, Southampton, NY 11968. The listed phone number is (916) 719-1591.

What is Thienly Huynh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thienly Huynh enrolled in Medicare?

Yes. Thienly Huynh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thienly Huynh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thienly Huynh reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thienly Huynh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thienly Huynh was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.