FATIMAH THIAM
NPI 1669033791
Nurse Practitioner - Psychiatric/Mental Health in Temple, TX

Active since June 28, 2019PECOS Enrolled
4102 W ADAMS AVE, TEMPLE, TX 76504(254) 350-0967 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2023, Jan 5, 2023 (2 updates tracked since 2023).

About Fatimah Thiam NPPES

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

FATIMAH THIAM (NPI 1669033791) is an individual psychiatric/mental health provider in Temple, Texas, licensed in Texas (1076154) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669033791
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFATIMAH THIAM
Location Address4102 W ADAMS AVETemple, TX 76504-8551
Mailing Address4102 W Adams AveTemple, TX 76504-8551
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2019
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
✔ NPI 1669033791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in TX · 1076154✔ Licensed in NM · 70333✔ Licensed in CO · C-APN.0004642-C-NP
Also ListedRegistered NurseTaxonomy 163W00000X · License 925924 (TX)
4102 W ADAMS AVE, Temple, TX 76504

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fatimah Thiam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870966120
PECOS Enrollment IDI20230307001815
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

9

Medicare enrollment records show Fatimah Thiam reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
110 S 12TH ST
Waco, TX 76701
  • Reassigned Medicare billing, Texas enrollment
  • 172 clinicians in this Medicare group
Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
Multi-Specialty
4910 AIRPORT AVE BLDG D
Rosenberg, TX 77471
  • Reassigned Medicare billing, Texas enrollment
  • 48 clinicians in this Medicare group
Psychiatry
4810 RIVERSTONE BLVD STE 100
Missouri City, TX 77459
  • Reassigned Medicare billing, Missouri, Ohio and Texas enrollments
  • 13 clinicians in this Medicare group
Psychiatry
2001 S MEDFORD DR
Lufkin, TX 75901
  • Reassigned Medicare billing, Texas enrollment
  • 150 clinicians in this Medicare group
Psychiatry
4444 W MAIN ST
League City, TX 77573
  • Reassigned Medicare billing, Texas enrollment
  • 115 clinicians in this Medicare group
Psychiatry
1500 PAPPAS ST
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 117 clinicians in this Medicare group
Psychiatry
900 COMMERCE PLACE DR
Forsyth, IL 62535
  • Reassigned Medicare billing, Kansas enrollment
  • 11 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Ohio and Texas enrollments
  • 504 clinicians in this Medicare group

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 76504 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Fatimah Thiam's NPI number?

The NPI number for Fatimah Thiam is 1669033791. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Fatimah Thiam located?

Fatimah Thiam practices at 4102 W Adams Ave, Temple, TX 76504. The listed phone number is (254) 350-0967.

What is Fatimah Thiam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fatimah Thiam enrolled in Medicare?

Yes. Fatimah Thiam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fatimah Thiam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fatimah Thiam reassigns Medicare benefits to 9 organizations: Heart Of Texas Region Mhmr Center (Waco, TX), Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX), Texana Center (Rosenberg, TX), Tp-Health Incorporated (Missouri City, TX), Burke Center (Lufkin, TX) and 4 more organizations, listed in the Medicare section above. 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 Fatimah Thiam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fatimah Thiam accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First and MedMutual and 5 other insurers list Fatimah Thiam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fatimah Thiam was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.