SOPHAI THACH
NPI 1801430442
Nurse Practitioner - Family in Saint Louis, MO
About Sophai Thach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHAI THACH (NPI 1801430442) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (F09190892) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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)
Sophai Thach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sophai Thach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10016
- Reassigned Medicare billing, Missouri enrollment
- 2 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 63127 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
SAINT LOUIS, MO 63127
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 Sophai Thach's NPI number?
The NPI number for Sophai Thach is 1801430442. It was assigned to this individual provider in the NPPES registry on November 6, 2019.
Where is Sophai Thach located?
Sophai Thach practices at 9717 Landmark Parkway Dr, Saint Louis, MO 63127. The listed phone number is (314) 722-6555.
What is Sophai Thach's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sophai Thach enrolled in Medicare?
Yes. Sophai Thach is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sophai Thach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophai Thach reassigns Medicare benefits to Big Leap Medical Group Of America P.A. (New York, NY). The 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 Sophai Thach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophai Thach accept?
Health plans from Anthem Blue Cross and Blue Shield list Sophai Thach 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 Sophai Thach was last updated on November 6, 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.
# Sophai Thach · NPI 1801430442
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since November 6, 2019.
## Identity
- **NPI:** 1801430442 (Entity type: Individual)
- **Enumerated:** November 6, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F09190892 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 9717 LANDMARK PARKWAY DR, Saint Louis, MO 63127-1628
- **Phone:** (314) 722-6555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Big Leap Medical Group Of America P.A. (NPI 1720886807, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 6, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1801430442) · Data from the CMS NPPES public registry.