DAN THAI
NPI 1174218697
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2023PECOS Enrolled
1020 SANSOM ST STE 1651B, PHILADELPHIA, PA 19107(215) 955-9837 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 5, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Dan Thai NPPES

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

DAN THAI (NPI 1174218697) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174218697
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAN THAI
Location Address1020 SANSOM ST STE 1651BPhiladelphia, PA 19107-5002
Mailing Address19 Sunset StPittsfield, MA 01201-1655 · (215) 385-6540
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1174218697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1020 SANSOM ST STE 1651B, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dan Thai 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.

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.

Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Emergency Medicine
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
1020 SANSOM ST STE 1651B
PHILADELPHIA, PA 19107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174218697, enumerated as an "individual" on April 10, 2023.

The provider is located at 1020 SANSOM ST STE 1651B PHILADELPHIA, PA 19107 and the phone number is (215) 955-9837.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.