THAO DO (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1861262024

THAO DO (NURSE PRACTITIONER) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1097900 (TX). The NPI Number for THAO DO (NURSE PRACTITIONER) is 1861262024

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
THAO DO (NURSE PRACTITIONER)
NPI
1861262024
Phone
(503) 901-7335
Address
5702 SAGE HOLW
Enumeration Date
8 January 2024
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106148101
Graduation Year
2022 (4 years ago)
PAC ID
6507218906
Group Practice PAC ID
6002952314
Professional Enrollment ID
I20240122003046
Address ID
TX782293621SA3463XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for THAO DO (NURSE PRACTITIONER)

  • 5702 SAGE HOLW

    SAN ANTONIO, TX 782493150

    Phone: (503) 901-7335

    Type: Mailing

  • 3463 MAGIC DR STE T21

    SAN ANTONIO, TX 782293621

    Phone: (210) 614-8101

    Fax: (210) 614-8102

    Type: Location

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: 2024-01-22

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
I20240122003046INurse PractitionerTXTBD

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 78249)

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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: 6002952314View full group profile
NameSpecialtyState
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

Is THAO DO (NURSE PRACTITIONER) listed with a National Provider Identifier?
Yes — THAO DO (NURSE PRACTITIONER) has NPI 1861262024 on file in the registry.
Is THAO DO (NURSE PRACTITIONER) still an active registrant?
THAO DO (NURSE PRACTITIONER) carries an active NPI according to the public dataset.
How would a patient describe THAO DO (NURSE PRACTITIONER)'s focus?
For THAO DO (NURSE PRACTITIONER), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with THAO DO (NURSE PRACTITIONER)?
Directory geography for THAO DO (NURSE PRACTITIONER) centers on San Antonio, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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