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THAN HTUT WIN M.D.
NPI 1184085425
Pediatrics in Elmhurst, NY

Active since March 15, 2016PECOS Enrolled
7901 BROADWAY, ELMHURST, NY 11373(718) 334-4000 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2025, Jul 11, 2024, Dec 22, 2021 and 1 more (4 updates tracked since 2016).

About Than Htut Win M.d. NPPES

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

THAN HTUT WIN M.D. (NPI 1184085425) is an individual pediatrics provider in Elmhurst, New York, licensed in Virginia (0101276347) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184085425
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHAN HTUT WINCredential: M.D.
Location Address7901 BROADWAYElmhurst, NY 11373-1329
Mailing Address4315 45th StSunnyside, NY 11104-2300 · (626) 548-9204
Phone(718) 334-4000
Sole ProprietorNo
Enumeration DateMarch 15, 2016
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1184085425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101276347
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7901 BROADWAY, Elmhurst, NY 11373
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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)

Than Htut Win M.d. 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 Reassignments

2

Medicare enrollment records show Than Htut Win reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
186 mi
Health Maintenance Organization
888 BESTGATE ROAD
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
NPI 1952461816 (410) 571-7300
Permanente Medical Group Inc
2,514 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11373 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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.

MR. PAUL ADRIAN POWELL P.A
Physician Assistant
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
RUDRA PRADEEP KOUL MD
Internal Medicine (Pulmonary Disease)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
CARLOS ANDRES PAREDES PONCE MD
Pediatrics
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-3050
JOSH KLEINMUNTZ LCSW
Social Worker (Clinical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-2650
AMELIA O'BRIEN LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (408) 838-0392
COLIN PAUL CARPENTER DO
Student in an Organized Health Care Education/Training Program
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4000
VANESSA GONZALEZ LMSW
Social Worker
7901 BROADWAY
ELMHURST, NY 11373
Queens County (718) 334-4630
SASHA AMEILIA KANDASAMMY
Physician Assistant (Surgical)
7901 BROADWAY
ELMHURST, NY 11373
Queens County (516) 849-2409

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 Than Htut Win's NPI number?

The NPI number for Than Htut Win is 1184085425. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Where is Than Htut Win located?

Than Htut Win practices at 7901 Broadway, Elmhurst, NY 11373. The listed phone number is (718) 334-4000.

What is Than Htut Win's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Than Htut Win enrolled in Medicare?

Yes. Than Htut Win is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Than Htut Win's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Than Htut Win reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Annapolis, MD) and Permanente Medical Group Inc (Stockton, CA). Each 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 Than Htut Win'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 Than Htut Win was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.