PHITSAMAI THATVIHANE NP-C
NPI 1669838108
Nurse Practitioner in Syracuse, NY
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Phitsamai Thatvihane reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 271 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Wellnow Urgent Care, P.C.
- 511 clinicians in this Medicare group
Liverpool, NY 13090
- Reassigned Medicare billing, New York enrollment
- 18 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.
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, NYPhysician 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Phitsamai Thatvihane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phitsamai Thatvihane reassigns Medicare benefits to 4 organizations: Suny Health Science Center At Syracuse (Syracuse, NY), St Josephs Medical PC (Liverpool, NY), Wellnow Urgent Care, PC (Liverpool, NY) and Zaki Badawy, MD PC (Liverpool, 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 Phitsamai Thatvihane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Phitsamai Thatvihane, NP-C · NPI 1669838108
Nurse Practitioner physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since January 14, 2016.
## Identity
- **NPI:** 1669838108 (Entity type: Individual)
- **Enumerated:** January 14, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 339735 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 725 E ADAMS ST STE 1A, Syracuse, NY 13210-2576
- **Phone:** (315) 464-7842 · **Fax:** (315) 464-7840
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Suny Health Science Center At Syracuse (NPI 1184974529, Syracuse, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); Wellnow Urgent Care, PC (NPI 1669825162, Liverpool, NY); Zaki Badawy, MD PC (NPI 1871206474, Liverpool, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2015
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669838108) · Data from the CMS NPPES public registry.