DR. MIIMII THAE (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1134797905

DR. MIIMII THAE (DPM) is a healthcare provider. based in Miami lakes, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO4559 (FL). The NPI Number for DR. MIIMII THAE (DPM) is 1134797905

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIIMII THAE (DPM)
NPI
1134797905
Phone
(305) 827-0712
Address
7407 Miami Lakes Dr
Enumeration Date
16 June 2021
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3052464774
Graduation Year
2021 (5 years ago)
PAC ID
5698207157
Group Practice PAC ID
9638076771
Professional Enrollment ID
I20241022003103
Address ID
FL330306047HO381XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. MIIMII THAE (DPM)

  • 7407 Miami Lakes Dr

    Miami Lakes, FL 330146818

    Phone: (305) 827-0712

    Type: Location

  • 4236 SW 124th Ter

    Miramar, FL 330276009

    Phone: (305) 496-0596

    Type: Location

  • 381 N KROME AVE STE 112

    HOMESTEAD, FL 330306047

    Phone: (305) 246-4774

    Fax: (305) 248-4086

    Type: Location

  • 7031 SW 62ND AVE

    SOUTH MIAMI, FL 331434701

    Phone: (305) 284-7761

    Type: Mailing

  • 4236 SW 124TH TER

    MIRAMAR, FL 330276009

    Phone: (305) 496-0596

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,133.

Total Amount is formed as General ($2,133) + Research ($0) + Ownership ($0) = $2,133.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medline Industries LP ($1,310).

Total Amount

$2,133

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-10-22

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
I20241022003103IPodiatryFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33014)

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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: 9638076771View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MIIMII THAE (DPM)?
Save NPI 1134797905 if you need a stable reference for DR. MIIMII THAE (DPM).
Is DR. MIIMII THAE (DPM) currently active in the NPI registry?
CMS-published data lists DR. MIIMII THAE (DPM) as an active registrant.
What kind of provider is DR. MIIMII THAE (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. MIIMII THAE (DPM). Clinical services aligned with this taxonomy classification.
Does DR. MIIMII THAE (DPM) practice in Florida?
You will see Miami Lakes, Florida on file for DR. MIIMII THAE (DPM) alongside any extra practice locations.
What if Miami Lakes, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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