Individual provider Active NPI

Triyug Bikram Malla Thakuri

  • Internal Medicine Physician
  • Downey, CA
National Provider Identifier
1124680897
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
204703 Issued in CA
Practice address
11500 Brookshire Ave
Downey, CA 90241-4917
Phone
(562) 904-5000
Fax
(562) 904-5140
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204703 CA Primary
Internal Medicine Physician 207R00000X 000517815 OH
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

11500 Brookshire Ave
Downey, CA 90241-4917

Mailing address

2200 Colorado Ave Apt 715
Santa Monica, CA 90404-5534
Phone (936) 207-6093

Other practice location 1

100 Medical Center Dr
Springfield, OH 45504-2687
Phone (937) 523-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220720000719 OH Practitioner - Internal Medicine 0042691271 Reassigns benefits to 1 organization
I20260430000778 CA Practitioner - Internal Medicine 0042691271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Ohio LLCGroup PAC ID 9032527221, 232 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1461

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204703CAMDInternal Medicine Physician
000517815OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Jun 21, 2022 Accepting new patients
Community Mercy Health Partners Past Accepting new patients

Locations

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

Organizations & group practices 3

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 4

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1124680897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE APT 715",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904045534",
            "telephone_number": "936-207-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 BROOKSHIRE AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414917",
            "telephone_number": "562-904-5000",
            "fax_number": "562-904-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455042687",
            "country_code": "US",
            "telephone_number": "937-523-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLA THAKURI",
        "first_name": "TRIYUG",
        "middle_name": "BIKRAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "204703",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "000517815",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.