Active NPI
Ananth Krishna Ferguson Thitte, RN, BSN
- Certified Registered Nurse Anesthetist
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61134961
- Practice address
- 716 Stevens Ave
Portland, ME 04103-2656 - Phone
- (281) 704-1968
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Certified Registered Nurse Anesthetist | 367500000X | AP61134961 | WA | Primary |
Addresses
Primary practice location
716 Stevens Ave
Portland, ME 04103-2656
Mailing address
505 NE 87TH Ave Ste 210
Vancouver, WA 98664-1988
Phone (360) 828-5396
Other practice location 1
56 Saint Jude St
Portland, ME 04103-5022
Phone (281) 704-1968
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 NE Mother Joseph Place
Vancouver, WA 98664-3200
Phone (360) 256-2000
Hospital & facility affiliations
- Peacehealth Southwest Medical Cente
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.51 of 100
- Quality
- 68.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Anesthesia Group P S | Current | Accepting new patients | |
| Oregon Anesthesiology Group PC | Current | Accepting new patients |
Locations
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
505 NE 87th Ave
Ste 210
Vancouver, WA 98664
Phone (360) 828-5396
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Vancouver, WA
- NPI 1861448235
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1104355924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 NE 87TH AVE STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986641988",
"telephone_number": "360-828-5396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 STEVENS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032656",
"telephone_number": "281-704-1968"
}
],
"practiceLocations": [
{
"address_1": "56 Saint Jude St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041035022",
"country_code": "US",
"telephone_number": "281-704-1968",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THITTE",
"first_name": "ANANTH KRISHNA",
"middle_name": "FERGUSON",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61134961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.