MYANANDI THAN (M.D.) – Family Medicine Physician, NPI 1356426522

MYANANDI THAN (M.D.) is a healthcare provider. based in Juneau, Alaska. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4210 (AK). The NPI Number for MYANANDI THAN (M.D.) is 1356426522

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MYANANDI THAN (M.D.)
NPI
1356426522
Phone
(907) 789-2910
Address
10301 GLACIER HWY
Enumeration Date
26 October 2006
Last Update Date
5 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9077892910
Graduation Year
1995 (31 years ago)
PAC ID
1951493873
Group Practice PAC ID
0941790539
Professional Enrollment ID
I20070823000542
Address ID
AK998018565JU10301HWYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

495 FAMILY PRACTICE in AK

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Provider Addresses for MYANANDI THAN (M.D.)

  • Glacier Highway, Juneau, Alaska, 99802, United States

    JUNEAU, AK 998018561

    Phone: (907) 789-2910

    Fax: (907) 789-5545

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $809.

Total Amount is formed as General ($809) + Research ($0) + Ownership ($0) = $809.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($238).

Total Amount

$809

General + Research + Ownership

Payments

34

Total payment records

General Amount

$809

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070823000542IFamily PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes572291$0
99214Established patient office or other outpatient visit, 30-39 minutes387286$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count326256$0
80053Blood test, comprehensive group of blood chemicals264229$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit218218$0
View full utilization report →

Insurance plans in this area (ZIP 99801)

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Provider's Procedures

MYANANDI THAN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEAK83036Hemoglobin A1C level208156
FAMILY MEDICINEAK85610Blood test, clotting time10315
FAMILY MEDICINEAK90670Pneumococcal vaccine for injection into muscle6060

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941790539View full group profile
NameSpecialtyState
Internal MedicineAK
Internal MedicineAK
Nurse PractitionerAK

Reviews

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Frequently asked questions

Can I use this page to confirm MYANANDI THAN (M.D.)'s NPI?
Yes. MYANANDI THAN (M.D.) is listed with NPI 1356426522 in the public NPI dataset.
Does the file indicate MYANANDI THAN (M.D.) is practicing under active NPI?
Directory data currently reports MYANANDI THAN (M.D.) as active.
What healthcare role does MYANANDI THAN (M.D.) hold?
Scheduling teams often label MYANANDI THAN (M.D.) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does MYANANDI THAN (M.D.) list a practice location?
Patients near Juneau, Alaska may find MYANANDI THAN (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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