Thatcha Naidu, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4457 Issued in OK

Practice address

1145 W I 240 Service Rd Ste F100
Oklahoma City, OK 73139-2134

Phone

(405) 682-8383

Fax

(405) 265-5230

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Icare Center LLC

  • Urgent Care Clinic/Center
  • Harrah, OK
  • NPI 1881190833
  Medicare reassignment
• Spectrum Healthcare Solutions, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Oklahoma City, OK
  • NPI 1558816850
  Medicare reassignment

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1124635032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W I 240 SERVICE RD STE F100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392134",
            "telephone_number": "405-682-8383",
            "fax_number": "405-265-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W I 240 SERVICE RD STE F100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731392134",
            "telephone_number": "405-682-8383",
            "fax_number": "405-265-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIDU",
        "first_name": "THATCHA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruby Nahar, MD
• Quinta Nahlesu
• Nhi X Nai, DO
• Sachidanandan Naidu, M.D.
• Subashni Naidu, OTR/L
• George Joseph Naifeh, DDS
• Monique M Naifeh, MD
• Kayli Nail Janda
• Sahara Nail
• Susha Nair, MD

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.