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PHITSAMAI THATVIHANE NP-C
NPI 1669838108
Nurse Practitioner in Syracuse, NY

Active since January 14, 2016PECOS EnrolledAccepts Medicare Assignment
725 E ADAMS ST STE 1A, SYRACUSE, NY 13210(315) 464-7842(315) 464-7840 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phitsamai Thatvihane Np-c NPPES

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

PHITSAMAI THATVIHANE NP-C (NPI 1669838108) is an individual nurse practitioner in Syracuse, New York, licensed in New York (339735) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of State University Of Ny Upstate Medical University (2015).

NPPES Registry Identity

NPI1669838108
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePHITSAMAI THATVIHANECredential: NP-C
Location Address725 E ADAMS ST STE 1ASyracuse, NY 13210-2576
Mailing Address725 E Adams St Ste 1aSyracuse, NY 13210-2576 · (315) 464-7842 · Fax (315) 464-7840
Phone(315) 464-7842
Fax(315) 464-7840
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2015
Enumeration DateJanuary 14, 2016
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1669838108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 339735
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
725 E ADAMS ST STE 1A, Syracuse, NY 13210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phitsamai Thatvihane Np-c 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 ID8022317510
PECOS Enrollment IDI20160505000072
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

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

MARIA T BARLETTA
Physician Assistant
725 E ADAMS ST STE 1A
SYRACUSE, NY 13210
Onondaga County (315) 464-4842

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 Phitsamai Thatvihane's NPI number?

The NPI number for Phitsamai Thatvihane is 1669838108. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Where is Phitsamai Thatvihane located?

Phitsamai Thatvihane practices at 725 E Adams St Ste 1A, Syracuse, NY 13210. The listed phone number is (315) 464-7842.

What is Phitsamai Thatvihane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Phitsamai Thatvihane enrolled in Medicare?

Yes. Phitsamai Thatvihane 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.

Is Phitsamai Thatvihane affiliated with any hospitals?

According to CMS data, Phitsamai Thatvihane is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Phitsamai Thatvihane was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.