Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nanthaya Tisavipat, MD

Individual provider Internal Medicine Physician · NPI 1871353045

Nanthaya Tisavipat, MD is a Neurology in Rochester, Minnesota. Qualified in 2020, 6 years ago. Practices with Mayo Clinic, a 4,796-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 80308 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 34372 (MN)

Record details

NPI number1871353045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2024
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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