MINHTAM T THAI DPM
NPI 1659519429
Podiatrist - Foot & Ankle Surgery in Portsmouth, VA

Q: What is Minhtam Thai's NPI number?

The NPI number for Minhtam Thai is 1659519429. It was assigned to this individual provider in the NPPES registry on January 31, 2009.

Q: What is Minhtam Thai's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Minhtam Thai was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2009PECOS Enrolled

4106 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701(757) 393-1136(757) 698-2499 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Minhtam T Thai Dpm NPPES

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

MINHTAM T THAI DPM (NPI 1659519429) is an individual foot & ankle surgery provider in Portsmouth, Virginia, licensed in Virginia (0103301001) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lansdowne.

NPPES Registry Identity

NPI1659519429

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameMINHTAM T THAICredential: DPM

Location Address4106 PORTSMOUTH BLVDPortsmouth, VA 23701

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117

Phone(757) 393-1136

Fax(757) 698-2499

Sole ProprietorNo

Enumeration DateJanuary 31, 2009

Last NPPES UpdateOctober 24, 2019

✔ NPI 1659519429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in VA · 0103301001

4106 PORTSMOUTH BLVD, Portsmouth, VA 23701

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Secondary Practice Location 1

Location 144055 Riverside Pkwy, suite 228Lansdowne, VA 20176-5179 · Phone (703) 858-3211 · Fax (703) 858-3212

Other Identifiers 1

Other0103301001VA · Commonwealth Of Virginia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minhtam T Thai Dpm 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.

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