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THAO THI PHUONG WOLBERT MD
NPI 1962859892
Surgery - Plastic and Reconstructive Surgery in Memphis, TN

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
1068 CRESTHAVEN RD STE 500, MEMPHIS, TN 38119(901) 866-8525(901) 302-2525 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Aug 16, 2024, Jun 24, 2016 and 1 more (4 updates tracked since 2016).

About Thao Thi Phuong Wolbert Md NPPES

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

THAO THI PHUONG WOLBERT MD (NPI 1962859892) is an individual plastic and reconstructive surgery provider in Memphis, Tennessee, licensed in Tennessee (74979) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962859892
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameTHAO THI PHUONG WOLBERTCredential: MD
Location Address1068 CRESTHAVEN RD STE 500Memphis, TN 38119-0846
Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864
Phone(901) 866-8525
Fax(901) 302-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1962859892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TN · 74979
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 77173 (CT)
1068 CRESTHAVEN RD STE 500, Memphis, TN 38119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

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

Thao Thi Phuong Wolbert Md 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 ID1759789969
PECOS Enrollment IDI20251001004509
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 Reassignment

Medicare enrollment records show Thao Wolbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Medical Group Inc
Same address
Multi-Specialty
1068 CRESTHAVEN RD STE 300
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 157 clinicians in this Medicare group
NPI 1780676650 (901) 866-8864

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.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

DR. ROBERT D WALLACE MD
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
DR. DANI KRUCHEVSKY MD
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
MELINDA HOMA
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
DR. OLIVIA MALLORY DELOZIER M.D.
Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8547
DR. MUNTAZIM MUKIT MD
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
MADELEINE JONES PA-C
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
MAHMOUD HASSOUBA MD
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8525
HELMUT O STEINBERG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Shelby County (901) 866-8547

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 Thao Wolbert's NPI number?

The NPI number for Thao Wolbert is 1962859892. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Thao Wolbert located?

Thao Wolbert practices at 1068 Cresthaven Rd Ste 500, Memphis, TN 38119. The listed phone number is (901) 866-8525.

What is Thao Wolbert's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Thao Wolbert enrolled in Medicare?

Yes. Thao Wolbert 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 organization bills Medicare for Thao Wolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thao Wolbert reassigns Medicare benefits to Ut Medical Group Inc (Memphis, TN). 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 Thao Wolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thao Wolbert accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 8 other insurers list Thao Wolbert 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.

Is Thao Wolbert affiliated with any hospitals?

According to CMS data, Thao Wolbert is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Thao Wolbert was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.