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DANIEL THOMAS THIBODEAU PA
NPI 1396760930
Physician Assistant in Williamsburg, VA

Active since July 13, 2006PECOS Enrolled
400 SENTARA CIR STE 320, WILLIAMSBURG, VA 23188(757) 345-4800 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2023, Mar 7, 2023, Sep 21, 2021 and 1 more (4 updates tracked since 2021).

About Daniel Thomas Thibodeau Pa NPPES

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

DANIEL THOMAS THIBODEAU PA (NPI 1396760930) is an individual physician assistant in Williamsburg, Virginia, licensed in Virginia (011000711) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Suffolk.

NPPES Registry Identity

NPI1396760930
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL THOMAS THIBODEAUCredential: PA
Location Address400 SENTARA CIR STE 320Williamsburg, VA 23188-5716
Mailing Address400 Sentara Cir Ste 320Williamsburg, VA 23188-5716 · (757) 345-4800
Phone(757) 345-4800
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateNovember 22, 20234 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1396760930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 011000711
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 SENTARA CIR STE 320, Williamsburg, VA 23188
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Secondary Practice Location 1

Location 15838 Habourview Blvd, Suite 270Suffolk, VA 23435 · Phone (757) 541-1050

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Thomas Thibodeau Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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 13

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

KELLY OLIVER SPANN NP
Nurse Practitioner (Family)
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800
YANEKA RHEA ALAIMALO CRNA
Nurse Anesthetist, Certified Registered
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4300
CHRISTINE ANASTASIO
Physician Assistant
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4300
RAVI SRIVASTAVA MD
Internal Medicine (Cardiovascular Disease)
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800
AMIN NADER MUSAITIF
Physician Assistant
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800
CARLY ANN HOPE MORRIS PA-C
Physician Assistant
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800
MRS. KIMBERLI MONIQUE RHOINEY NP-C
Nurse Practitioner (Adult Health)
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800
DR. MICHAEL LUCAS GAMBILL DO
Internal Medicine (Cardiovascular Disease)
400 SENTARA CIR STE 320
WILLIAMSBURG, VA 23188
James City County (757) 345-4800

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 Daniel Thibodeau's NPI number?

The NPI number for Daniel Thibodeau is 1396760930. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Daniel Thibodeau located?

Daniel Thibodeau practices at 400 Sentara Cir Ste 320, Williamsburg, VA 23188. The listed phone number is (757) 345-4800.

What is Daniel Thibodeau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Daniel Thibodeau enrolled in Medicare?

Yes. Daniel Thibodeau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daniel Thibodeau was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.