Individual provider Active NPI

Thimmaiah Ganapathi Theethira, M.D.,

  • Gastroenterology Physician
  • Sacramento, CA
National Provider Identifier
1225284359
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A135528 Issued in CA
Practice address
8120 Timberlake Way Ste 107
Sacramento, CA 95823-5413
Phone
(916) 661-6000
Fax
(916) 661-6188
NPI assigned
Aug 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A135528 CA
Gastroenterology Physician 207RG0100X A135528 CA Primary

Addresses

Primary practice location

8120 Timberlake Way Ste 107
Sacramento, CA 95823-5413

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161027002326 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5890976856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

8120 Timberlake Way
Suite 107
Sacramento, CA 95823-5413
Phone (916) 681-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
135528CAMDMarriage & Family Therapist
A135528CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jan 4, 2021 Accepting new patients
Community Foundation Medical Group CurrentSince Oct 19, 2016 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jan 4, 2021 Accepting new patients
Community Foundation Medical Group Internal Medicine CurrentSince Oct 19, 2016 Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Dignity Health Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Endoscopy Center of South Sacramento, LLC Past Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 280
Fresno, CA 93701
Phone (559) 256-5130

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-6000

8120 Timberlake Way
Ste 103
Sacramento, CA 95823
Phone (916) 681-2350

8120 Timberlake Way
Ste 101
Sacramento, CA 95823
Phone (916) 423-2123

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1225284359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8120 TIMBERLAKE WAY STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235413",
            "telephone_number": "916-661-6000",
            "fax_number": "916-661-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEETHIRA",
        "first_name": "THIMMAIAH",
        "middle_name": "GANAPATHI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135528",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A135528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.