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: August 09, 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
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

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

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.

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 14

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

Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Physician Assistant (Surgical)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Plastic Surgery
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119
Surgery (Plastic and Reconstructive Surgery)
1068 CRESTHAVEN RD STE 500
MEMPHIS, TN 38119

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.

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 10 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.