DR. NAY NAY THIRI M.D.
NPI 1154731693
Hospitalist in Carmichael, CA

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
6555 COYLE AVE STE 280, CARMICHAEL, CA 95608(916) 536-3560(916) 536-3567 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nay Nay Thiri M.d. NPPES

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

DR. NAY NAY THIRI M.D. (NPI 1154731693) is an individual hospitalist provider in Carmichael, California, licensed in California (A150767) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corning, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1154731693
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. NAY NAY THIRICredential: M.D.
Location Address6555 COYLE AVE STE 280Carmichael, CA 95608-0302
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(916) 536-3567
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 6, 2014
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
NPI 1154731693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A150767
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
6555 COYLE AVE STE 280, Carmichael, CA 95608

Secondary Practice Location 1

Location 1122 W William StCorning, NY 14830-2113 · Phone (607) 654-8533

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nay Nay Thiri M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981970720
PECOS Enrollment IDI20171024001148
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
321 services168 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
309 services147 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
191 services182 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers25 claims25 services$36.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$62.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Internal Medicine (Interventional Cardiology)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Internal Medicine (Interventional Cardiology)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Hospitalist
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Internal Medicine (Interventional Cardiology)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Physician Assistant
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Physician Assistant (Surgical)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608
Nurse Practitioner (Family)
6555 COYLE AVE STE 280
CARMICHAEL, CA 95608

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 Nay Thiri's NPI number?

The NPI number for Nay Thiri is 1154731693. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Nay Thiri located?

Nay Thiri practices at 6555 Coyle Ave Ste 280, Carmichael, CA 95608. The listed phone number is (916) 536-3560.

What is Nay Thiri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nay Thiri enrolled in Medicare?

Yes. Nay Thiri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nay Thiri was last updated on March 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.