THAN N OO (MD) – Nephrology Physician, NPI 1184673709

THAN N OO (MD) is a healthcare provider. based in Battle creek, Michigan. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 4301067357 (MI). The NPI Number for THAN N OO (MD) is 1184673709

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
THAN N OO (MD)
NPI
1184673709
Phone
(269) 349-6759
Address
233 Roosevelt Ave E Ste 103
Enumeration Date
10 May 2006
Last Update Date
9 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
1557322591
Group Practice PAC ID
1658283007
Professional Enrollment ID
I20101109000024
Address ID
MI490073889KA521XXAVEX400
Telehealth
Yes

Contacts

Secure Messaging
Nephcenter@directaddress.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

Provider Addresses for THAN N OO (MD)

  • 233 Roosevelt Ave E Ste 103

    Battle Creek, MI 490372810

    Phone: (269) 349-6759

    Type: Location

  • 3271 W Carleton Rd

    Hillsdale, MI 492429458

    Phone: (269) 349-6759

    Type: Location

  • 521, East Michigan Avenue, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    SUITE 201

    KALAMAZOO, MI 490073889

    Phone: (269) 349-6759

    Fax: (269) 349-7450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($27).

Total Amount

$90

General + Research + Ownership

Payments

4

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2010-11-09

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
I20101109000024IInternal MedicineMITBD

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
90960Dialysis services, 4 or more physician visits per month (20 years or older)24337$0
99214Established patient office or other outpatient visit, 30-39 minutes200155$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13880$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7269$0
90935Hemodialysis procedure with physician evaluation7045$0
View full utilization report →

Insurance plans in this area (ZIP 49037)

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Provider's Procedures

THAN N OO (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI90935Hemodialysis procedure with one physician evaluation246119
INTERNAL MEDICINEMI90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older8236

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: 1658283007View full group profile
NameSpecialtyState
Otolaryngology, Plastic And Reconstructive SurgeryMI
-MI
Gastroenterology, Internal MedicineMI
Nephrology, Internal MedicineMI
Nephrology, Internal MedicineMI
Physician AssistantMI
D E R M A T O L O G YMI
O T O L A R Y N G O L O G YMI
Nephrology, Internal MedicineMI
-MI

Reviews

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Frequently asked questions

Can I verify THAN N OO (MD) with an NPI only?
You can start verification with NPI 1184673709 for THAN N OO (MD), then check state licensing separately.
Is THAN N OO (MD) listed as active for patients and plans?
The listing shows THAN N OO (MD) as active in the NPI system.
What healthcare role does THAN N OO (MD) hold?
Scheduling teams often label THAN N OO (MD) under Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is THAN N OO (MD) based?
THAN N OO (MD) is tied to Battle Creek, Michigan in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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