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KHIN MA MA THEIN M.D
NPI 1487916367
Family Medicine in Flushing, NY

Active since June 15, 2012PECOS EnrolledAccepts Medicare Assignment
99.95/100
CMS Quality Rating
13739 45TH AVE, CBWCHC, FLUSHING, NY 11355(929) 362-3006(929) 362-3026 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khin Ma Ma Thein M.d NPPES

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

KHIN MA MA THEIN M.D (NPI 1487916367) is an individual family medicine provider in Flushing, New York, licensed in New York (280836) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1487916367
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKHIN MA MA THEINCredential: M.D
Location Address13739 45TH AVE, CBWCHCFlushing, NY 11355-4094
Mailing Address13626 37th AveFlushing, NY 11354-6533 · (718) 886-1212
Phone(929) 362-3006
Fax(929) 362-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 15, 2012
Last NPPES UpdateOctober 21, 2015
✔ NPI 1487916367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 280836
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
13739 45TH AVE, Flushing, NY 11355
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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 and accepts Medicare assignment

Khin Ma Ma Thein 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 ID7113227067
PECOS Enrollment IDI20180823000646
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

3

Medicare enrollment records show Khin Ma Ma Thein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Flushing Hospital & Medical Center
0.4 mi
General Acute Care Hospital
4500 PARSONS BLVD
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 327 clinicians in this Medicare group
NPI 1548217763 (718) 670-6000
Jamaica Hospital
3.6 mi
Emergency Medical Services
8900 VAN WYCK EXPWY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 738 clinicians in this Medicare group
NPI 1477505220 (718) 206-8918
Harmony Health Care Long Island
5.8 mi
Federally Qualified Health Center (FQHC)
2150 HEMPSTEAD TPKE # 58C
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1336669670 (516) 488-3434

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 11355 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.

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.

99.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.18
Promoting Interoperability79
Improvement Activities40
Cost92.82

Other Providers at the Same Location NPPES

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

MS. ZU YU CHEN D.O
Family Medicine
13739 45TH AVE
FLUSHING, NY 11355
Queens County (929) 362-3006

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 Khin Ma Ma Thein's NPI number?

The NPI number for Khin Ma Ma Thein is 1487916367. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Khin Ma Ma Thein located?

Khin Ma Ma Thein practices at 13739 45th Ave Cbwchc, Flushing, NY 11355. The listed phone number is (929) 362-3006.

What is Khin Ma Ma Thein's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khin Ma Ma Thein enrolled in Medicare?

Yes. Khin Ma Ma Thein 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.

Which organizations bill Medicare for Khin Ma Ma Thein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khin Ma Ma Thein reassigns Medicare benefits to 3 organizations: Flushing Hospital & Medical Center (Flushing, NY), Jamaica Hospital (Jamaica, NY) and Harmony Health Care Long Island (Elmont, NY). 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 Khin Ma Ma Thein'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 Khin Ma Ma Thein was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.