MS. ANDREA MINOR THACH M.D.
NPI 1265484240
Internal Medicine - Hospice and Palliative Medicine in Oakland, CA

Q: What is Andrea Thach's NPI number?

The NPI number for Andrea Thach is 1265484240. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Andrea Thach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Thach was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 17, 2006PECOS Enrolled

3100 SUMMIT ST FL 2, OAKLAND, CA 94609(510) 204-3410(510) 204-3411 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2020, Dec 1, 2015 (2 updates tracked since 2015).

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About Ms. Andrea Minor Thach M.d. NPPES

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

MS. ANDREA MINOR THACH M.D. (NPI 1265484240) is an individual hospice and palliative medicine provider in Oakland, California, licensed in California (G53457) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bellingham.

NPPES Registry Identity

NPI1265484240

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameMS. ANDREA MINOR THACHCredential: M.D.

Location Address3100 SUMMIT ST FL 2Oakland, CA 94609-3412

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 204-3410 · Fax (510) 204-3411

Phone(510) 204-3410

Fax(510) 204-3411

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2020

✔ NPI 1265484240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Licenses✔ Licensed in CA · G53457✔ Licensed in WA · MD00021008

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD00021008 (WA), 53457 (CA)

3100 SUMMIT ST FL 2, Oakland, CA 94609

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Secondary Practice Location 1

Location 13015 Squalicum Pkwy, Suite 100Bellingham, WA 98225-1945 · Phone (360) 715-4186 · Fax (360) 715-4187

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Andrea Minor Thach 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

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

Sutter Bay Medical Foundation

6.0 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

University Of California Sfgh Medical Group

8.9 mi

Endocrinology, Diabetes & Metabolism

2540 23RD ST, 2ND FLOOR, ROOM 2110
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
637 clinicians in this Medicare group

NPI 1265407381 (415) 514-9031

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

Areas of Expertise CMS Part B claims 7

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

129 services30 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

70 services42 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

66 services53 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services25 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

22 services22 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

20 services20 patients

Other Providers at the Same Location NPPES 5

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

ELSA PETRONELLA VAN BERRY CRYT, RN, MSN,FNP-BC

Nurse Practitioner (Family)