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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Gary Gregasavitch, DPM, PC
153 mi
Podiatric
7001 HERITAGE VILLAGE PLZ STE 230
Gainesville, VA 20155
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1215047352 (703) 273-9332
Pmr Virginia Holding, LLC
784 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Virginia enrollment
  • 100 clinicians in this Medicare group
NPI 1083167001 (305) 628-6117

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

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.

MRS. KEVA DENISE HOYT FNP-C
Nurse Practitioner (Family)
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
CHIQILLA SHANAYE MCCOY FNP
Nurse Practitioner (Family)
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
ADEBIMPE OLUFEMI HOWELLS-SOLESI M.D., MPH
Family Medicine
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
PATRICIA ANNETTE SIMPKINS NP
Internal Medicine
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
MARYAM M NOWROOZI MD
Internal Medicine
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
DR. CHERYLL NICOLETTE CASH M.D.
Internal Medicine
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-1136
NANCY LEE NICOLSKI
Pharmacist
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 391-2850
DR. RIKITHA MENEZES M.D.
Internal Medicine (Geriatric Medicine)
4106 PORTSMOUTH BLVD
PORTSMOUTH, VA 23701
Portsmouth City (757) 393-3611

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 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.

Where is Minhtam Thai located?

Minhtam Thai practices at 4106 Portsmouth Blvd, Portsmouth, VA 23701. The listed phone number is (757) 393-1136.

What is Minhtam Thai's specialty?

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

Is Minhtam Thai enrolled in Medicare?

Yes. Minhtam Thai is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Minhtam Thai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minhtam Thai reassigns Medicare benefits to 2 organizations: Gary Gregasavitch, DPM, PC (Gainesville, VA) and Pmr Virginia Holding, LLC (Miami Gardens, FL). 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 Minhtam Thai'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 Minhtam Thai was last updated on October 24, 2019. 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.