Neelam Dharmendra Thakker, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704363033 Issued in MI

Practice address

2509 Packard St Apt C
Ann Arbor, MI 48104-6805

Phone

(630) 765-2224

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Neelam Simha Other name

Medicare fee-for-service enrollment

Enrolled in MI, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL, MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1326828070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PACKARD ST APT C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046805",
            "telephone_number": "630-765-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 PACKARD ST APT C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046805",
            "telephone_number": "630-765-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "NEELAM",
        "middle_name": "DHARMENDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704363033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEELAM",
            "last_name": "SIMHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bhavana Tetali, MD
• Naheda Thabata, RN
• Eleanor Kathryn Erickson Thach, MS, RDN
• Barbara A Thacker, MSW
• Mansi Thakkar, PT, DPT
• Jordan E Thaler, RD
• Jennifer Lynn Thamarus, M.S.,CCC-SLP
• Porama Koy Thanaporn, M.D.
• Kanmony Thangappan, P.T.
• Karthikeyan Thanigaimani, MBBS

• Family Nurse Practitioner in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.