Thomas J Chowattukunnel, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01036896A Issued in IN

Practice address

711 W Gardner Dr
Marion, IN 46952-1821

Phone

(765) 662-6257

Fax

(765) 668-6797

NPI assigned

Nov 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians IncGroup PAC ID 4385684711, 3 clinicians

Pulaski Memorial HospitalGroup PAC ID 3173515509, shared by 32 NPIs, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pulaski Memorial Hospital Hospital, Winamac, IN, CCN 151305

Merit-based Incentive Payment System (MIPS)

Final score

94.8 of 100Reported as group

Quality

95.65

Improvement activities

40

Cost

88.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eye Physicians Inc

  • Ophthalmology Physician
  • Logansport, IN
  • NPI 1669559761
  Medicare reassignment Care Compare group NPD
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Rural Health Clinic/Center
  • Winamac, IN
  • NPI 1740403419
  Medicare reassignment NPD
• Eye Physicians Inc

  • Ophthalmology Physician
  • Peru, IN
  • NPI 1740357748
  NPD
• Eye Physicians Inc

  • Ophthalmology Physician
  • Kokomo, IN
  • NPI 1972670982
  NPD
• Pulaski Memorial Hospital

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119

  Ophthalmology

  NPD
• Eye Specialists Surgery Centers, LLC

  • Ambulatory Surgical Clinic/Center
  • Muncie, IN
  • NPI 1669705034
  NPD (past)
• Jennifer M Gudas OD, PC

  • Optometrist
  • Winamac, IN
  • NPI 1073882429
  NPD (past)

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

• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Care Compare affiliation

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1043292337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W GARDNER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521821",
            "telephone_number": "765-662-6257",
            "fax_number": "765-668-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W GARDNER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521821",
            "telephone_number": "765-662-6257",
            "fax_number": "765-668-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWATTUKUNNEL",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01036896A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100383540",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.chowattukunnelmd.p57@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "711 W Gardner Dr",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469521821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Jane Chaplin, LCSW
• Roxanne F Chew, MSW
• Childrens Dental Specialist
• Chiropractic Health Consultants Inc. PC
• Saylease Choice
• Chyna Christian, RBT
• Christina Ciepiel
• Madison Clark, RBT
• Megan Clark, PHARMD
• Tiffany Clark, PHARMD

• Ophthalmology Physician in Marion, IN
• Providers in Marion, IN by specialty
• Ophthalmology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.