NDEYE THIAW – Physician Assistant, NPI 1053065839

NDEYE THIAW is a healthcare provider. based in Lexington, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA213413 (OR). The NPI Number for NDEYE THIAW is 1053065839

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NDEYE THIAW
NPI
1053065839
Phone
(859) 382-0975
Address
3422 LAREDO DR
Enumeration Date
9 February 2022
Last Update Date
12 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5412675151
Graduation Year
2022 (4 years ago)
PAC ID
6204203631
Group Practice PAC ID
5597677716
Professional Enrollment ID
I20221027002150
Address ID
OR974202045CO1900XDRXX301
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

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for NDEYE THIAW

  • 3422 LAREDO DR

    LEXINGTON, KY 405172112

    Phone: (859) 382-0975

    Type: Mailing

  • 1900 WOODLAND DR

    COOS BAY, OR 974202099

    Phone: (541) 267-5151

    Fax: (541) 266-4567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-10-27

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
I20221027002150IPhysician AssistantORTBD

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
71046X-ray of chest, 2 views4040$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2524$0
81003Automated urinalysis test2222$0
73130X-ray of hand, minimum of 3 views1616$0
73630X-ray of foot, minimum of 3 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 40517)

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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: 5597677716View full group profile
NameSpecialtyState
Nurse PractitionerOR
Family Practice, Emergency MedicineOR
Physical Therapist In Private PracticeOR
-OR
-OR
P O D I A T R YOR
Clinical Social WorkerOR
Nurse PractitionerOR
-MI
-OR

Reviews

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Frequently asked questions

How is NDEYE THIAW identified in CMS data?
CMS-hosted NPPES data lists NDEYE THIAW with NPI 1053065839.
Does CMS list NDEYE THIAW as active?
Yes — NDEYE THIAW is active in the NPI listing used on this page.
What is NDEYE THIAW best known for clinically?
Directory data describes NDEYE THIAW with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does NDEYE THIAW list a practice location?
Patients near Lexington, Kentucky may find NDEYE THIAW in results; validate coverage separately.
Is the information about NDEYE THIAW up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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