Individual provider Active NPI

Rama V Thyagarajan, MD

  • Infectious Disease Physician
  • Dearborn, MI
National Provider Identifier
1003886151
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301059512 Issued in MI
Practice address
18181 Oakwood Blvd Ste 101
Medical Office Building
Dearborn, MI 48124-4082
Phone
(313) 436-2426
Fax
(313) 436-2440
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301059512 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 101
Medical Office Building
Dearborn, MI 48124-4082

Mailing address

15500 Lundy Pkwy
Dearborn, MI 48126-2778
Phone (313) 586-5011

Other identifiers 2

IdentifierTypeStateIssuer
4751866MedicaidMI
1108241691OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024002773 TX Practitioner - Infectious Disease 1658302831 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

Hospital & facility affiliations

  • Dell Seton Med Center at the University of TX Hospital, Austin, TX, CCN 450124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Mar 1, 2022 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Current Accepting new patients
Seton Family of Doctors CurrentSince Dec 2, 2019 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Mar 1, 2022 Accepting new patients
University of Texas at Austin Dell Medical School Current Accepting new patients
University of Texas at Austin CurrentSince Nov 1, 2019 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince Nov 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Dec 2, 2019 Accepting new patients
Dietitian for All L.L.C. Past Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1601 Trinity St
Austin, TX 78712
Phone (833) 882-2737

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

1330 E 8th St
Ste 315
Odessa, TX 79761
Phone (432) 580-0713

Interoperability endpoints

  • Direct secure messaging: rama.thyagarajan.1@16041.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1003886151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 LUNDY PKWY",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262778",
            "telephone_number": "313-586-5011",
            "fax_number": "313-792-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 101",
            "address_2": "MEDICAL OFFICE BUILDING",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244082",
            "telephone_number": "313-436-2426",
            "fax_number": "313-436-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYAGARAJAN",
        "first_name": "RAMA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301059512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4751866",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1108241691",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.