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Chajli Chen Thao , PA-C

Physician Assistant β€’ Fridley, MN

Active NPI 1396530119 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

6401 University Ave Ne
Fridley, MN 554324341

Call 7635865844 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6401 University Ave Ne

Fridley, MN 554324341

Telephone 7635865844
Organization at the Same NPPES Address or Phone
Columbia Park Medical Group, Pa Facility NPI 1932150117

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 3 distinct group names: Fairview Express Care; Fairview Specialty Services; Healtheast Medical Research Institute. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Chajli Thao has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Chajli Thao as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fridley and Minnesota

26 active clinicians are listed under Physician Assistant with a practice address in Fridley, MN (4,067 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fridley

19.2% of these 26 clinicians have the CMS telehealth indicator.

73.1% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250729001686

Enrollment State Jurisdiction

MN

PECOS Control ID

9234646837

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Fairview Specialty Services

911 Northland Dr, Princeton, MN 553712172

Phone: 8553247843

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Fairview Express Care

5200 Fairview Blvd, Wyoming, MN 550928013

Phone: 6519827800

Fairview Express Care

5200 Fairview Blvd, Wyoming, MN 550928013

Phone: 6519827000

Fairview Express Care

6341 University Ave Ne, Fridley, MN 554324946

Phone: 7635724946

Fairview Express Care

6341 University Ave Ne, Fridley, MN 554324946

Phone: 7635725700

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Healtheast Medical Research Institute

1700 University Ave W, Saint Paul, MN 551043727

Healtheast Medical Research Institute

1700 University Ave W, Saint Paul, MN 551043727

Healtheast Medical Research Institute

2945 Hazelwood St, Maplewood, MN 551091243

Phone: 6513269462

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
Dr. Hiba Bashir , MD

Allergy & Immunology

NPI 1497875074

Doctor of Medicine (M.D.)

Dr. James Bergstrom , MD

Internal Medicine

NPI 1588626386

Doctor of Medicine (M.D.)

Daniel Brooks , APRN

Nurse Practitioner - Family

NPI 1114536547

Advanced Practice Registered Nurse

Kaydee Brown , LD

Dietitian, Registered

NPI 1114984028

Licensed Dietitian

Dr. Peter Chweyah , MD

Family Medicine

NPI 1568606903

Doctor of Medicine (M.D.)

Zane Dye , APRN, FNP-C

Nurse Practitioner - Family

NPI 1437831930

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated August 21, 2025

Recorded as CHAJLI THAO, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2025

Physician Assistant

πŸ“
Updated Business Mailing Address April 16, 2025

Registered at 6401 UNIVERSITY AVE NE, FRIDLEY, MN 554324341

βœ…
NPI Profile Active April 11, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 11, 2025

Registered at 6401 UNIVERSITY AVE NE, FRIDLEY, MN 554324341 (Tel: 7635865844)

πŸ“
Business Mailing Address (Initial Record) April 11, 2025

Registered at 5673 157TH WAY N, HUGO, MN 550388470 (Tel: 6514428645)

πŸ‘€
Provider Name / Credentials (Initial Record) April 11, 2025

Recorded as CHAJLI THAO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 11, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396530119
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2025
Last Update: August 21, 2025
Sole Proprietor: No

Other Physician Assistants in Fridley

All Physician Assistants in Fridley

Mailing Address

6401 University Ave Ne

Fridley, MN 554324341

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.