Theethaye Lonappan Ittiara, M.D

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301031889 Issued in MI

Practice address

142 E Maumee St
Adrian, MI 49221-2735

Phone

(517) 263-5810

NPI assigned

Apr 4, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

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

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arab American and Chaldean CouncilGroup PAC ID 2365401874, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Arab American and Chaldean Council

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
  • NPI 1861673543
  Medicare reassignment Care Compare group NPD
• Theethaye L. Ittiara, M.D., P.C.

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1124289806
  NPD (past) Authorized official
• Arab American and Chaldean Council

  • Psychiatry Physician
  • Troy, MI
  • NPI 1689006975
  NPD
• Arab American and Chaldean Council

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1982706883
  NPD

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174585475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 PINE VIEW DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978963",
            "telephone_number": "734-485-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITTIARA",
        "first_name": "THEETHAYE",
        "middle_name": "LONAPPAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301031889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indigo Hospital Medicine - Adrian PLC
• Sidney Ing
• Internal Medicine Associates of Adrian PC
• Vicki Lynn Iott-Schultz
• Bayleigh Marie Iott
• J Yason Samson MD PC
• Ahmad Dilshad Jacksi, PHARM.D.
• Nicholas Jackson
• Thresiamma Jacob, M.D.
• Theresa M. Jaimez-Rupley

• Psychiatry Physician in Adrian, MI
• Providers in Adrian, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.