Active NPI
Thara Rani Damodaran, M.D.
- Infectious Disease Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 31085
- Practice address
- 1925 NW 142ND St
Oklahoma City, OK 73134-6193 - Phone
- (405) 706-3117
- Fax
- (877) 349-5185
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 35774 | AZ | |
| Infectious Disease Physician | 207RI0200X | 31085 | OK | Primary |
Addresses
Primary practice location
1925 NW 142ND St
Oklahoma City, OK 73134-6193
Mailing address
PO Box 20490
Mesa, AZ 85277-0490
Phone (480) 985-1093
Other practice location 1
13313 N Meridian Ave
Building D
Oklahoma City, OK 73120-8380
Phone (405) 529-5759
Other names 1
- Dr. Thara Rani Vinu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924001243 | OK | Practitioner - Infectious Disease | 9133125917 | Reassigns benefits to 7 organizations |
| I20220531002340 | NE | Practitioner - Infectious Disease | 9133125917 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1002 E Central Blvd
Anadarko, OK 73005-4405
Phone (405) 247-2551
1925 NW 142ND St
Oklahoma City, OK 73134-6193
Phone (405) 706-3117
40 Hospital Rd
Fairfax, OK 74637-5084
Phone (918) 642-3291
611 W Francis St
200 Great Plains Health Outpatient Services
North Platte, NE 69101-0614
Phone (308) 568-3500
Hospital & facility affiliations
- Mercy Home Health
- Amedisys Home Health
- Integris Home Care Oklahoma City
- Mercy Hospital Oklahoma City, Inc
- Great Plains Health
- Integris Health Edmond Hospital
- Oklahoma Heart Hospital, LLC
- Mercy Hospital Logan County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Duncan Regional Hospital, Inc | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Chadron Community Hospital Corp. | Current | Accepting new patients | |
| Rural Wellness Fairfax Inc | Current | Accepting new patients | |
| Comanche County Healthcare | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Regional West Physicians Clinic | Current | Accepting new patients | |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Rha Stroud Inc | Current | Accepting new patients | |
| Box Butte General Hospital | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Rural Wellness Anadarko Inc | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Solutions Practice Management | Past | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Infectious Disease Associates LLC | Infectious Disease | Past | Accepting new patients |
Locations
2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660
825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441
611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551
2515 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-6806
40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Dept 960617
Oklahoma City, OK 73196
13313 N Meridian Ave
Ste D
Oklahoma City, OK 73120
Phone (405) 529-5759
2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571
Interoperability endpoints
- thararanidamodaran@rwhstroud.medalliesdirect.net
- tdamodaran158918@direct.integrisok.com
- tdamodaran768034@directc.mercy.net
- tdamodaran387188@direct.nebraskamed.com
Organizations & group practices 19
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.
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
NE
-
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
- Critical Access Hospital
- Stroud, OK
- NPI 1437107117
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1255380275
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1174542195
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
-
- Home Health Agency
- Oklahoma City, OK
- NPI 1437256070
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
Hospital
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1265455604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20490",
"city": "MESA",
"state": "AZ",
"postal_code": "852770490",
"telephone_number": "480-985-1093",
"fax_number": "480-296-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 NW 142ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731346193",
"telephone_number": "405-706-3117",
"fax_number": "877-349-5185"
}
],
"practiceLocations": [
{
"address_1": "13313 N Meridian Ave",
"address_2": "Building D",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731208380",
"country_code": "US",
"telephone_number": "405-529-5759",
"fax_number": "405-529-5760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMODARAN",
"first_name": "THARA RANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "AZ",
"license": "35774",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OK",
"license": "31085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THARA RANI",
"last_name": "VINU",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.