Active NPI
Ram K Thinakkal, M.D.
- Allergy & Immunology Physician
- Livingston, TN
National Provider Identifier
1225035173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 04-27506
- Practice address
- 521 Medical Dr
Suite B
Livingston, TN 38570-1879 - Phone
- (931) 403-6101
- Fax
- (931) 403-6102
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 04-27506 | TN | Primary |
Addresses
Primary practice location
521 Medical Dr
Suite B
Livingston, TN 38570-1879
Mailing address
521 Medical Dr
Suite B
Livingston, TN 38570-1879
Phone (931) 403-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1509617 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-27506 | TN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ram K Thinakkal MD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
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- Livingston, TN
- NPI 1881839090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1225035173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MEDICAL DR",
"address_2": "SUITE B",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701879",
"telephone_number": "931-403-6101",
"fax_number": "931-403-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MEDICAL DR",
"address_2": "SUITE B",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701879",
"telephone_number": "931-403-6101",
"fax_number": "931-403-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THINAKKAL",
"first_name": "RAM",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "04-27506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1509617",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.