NICOLE HONG PHUONG THAI (M.D.) – Internal Medicine Physician, NPI 1245254382

NICOLE HONG PHUONG THAI (M.D.) is a healthcare provider. based in San jose, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. A47898 (CA). The NPI Number for NICOLE HONG PHUONG THAI (M.D.) is 1245254382

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HONG PHUONG THAI (M.D.)
NPI
1245254382
Phone
(408) 928-5656
Address
200 JOSE FIGUERES AVE.
Enumeration Date
26 July 2006
Last Update Date
3 March 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4082792377
Graduation Year
1982 (44 years ago)
PAC ID
4981608270
Group Practice PAC ID
3870907843
Professional Enrollment ID
I20060828000563
Address ID
CA951161603SA227XXAVEX403
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

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for NICOLE HONG PHUONG THAI (M.D.)

  • 200, Jose Figueres Avenue, Little Portugal, San Jose, Santa Clara County, California, 95116, United States

    SUITE 355

    SAN JOSE, CA 95116

    Phone: (408) 928-5656

    Fax: (408) 928-5626

    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 85 Open Payments records for all available years, with a total value of $1,839.

Total Amount is formed as General ($1,839) + Research ($0) + Ownership ($0) = $1,839.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($311).

Total Amount

$1,839

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2006-08-28

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
I20060828000563IInternal MedicineCATBD

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 minutes684251$0
G0008Administration of influenza virus vaccine119119$0
90662Influenza vaccine split virus, preservative free9292$0
99214Established patient office or other outpatient visit, 30-39 minutes3938$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3533$0
View full utilization report →

Insurance plans in this area (ZIP 95116)

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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: 3870907843View full group profile
NameSpecialtyState
Internal MedicineCA
Family PracticeMI
Internal MedicineCA
General PracticeCA
Family PracticeCA
Internal MedicineHI
Family PracticeSC
Physician AssistantCA
Internal MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

Does NICOLE HONG PHUONG THAI (M.D.) have a public NPI I can cite?
Public records show NICOLE HONG PHUONG THAI (M.D.) under NPI 1245254382.
Quick check: is NICOLE HONG PHUONG THAI (M.D.) active?
Public NPPES data shows NICOLE HONG PHUONG THAI (M.D.) with an active NPI status right now.
Which specialty label fits NICOLE HONG PHUONG THAI (M.D.)?
NPPES ties NICOLE HONG PHUONG THAI (M.D.) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE HONG PHUONG THAI (M.D.)?
NICOLE HONG PHUONG THAI (M.D.) is associated with San Jose, California in the same public data insurers reference.
Why is information missing for NICOLE HONG PHUONG THAI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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