Ananth Thyagarajan, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

0101247154 Issued in VA

Practice address

6035 Burke Centre Pkwy Ste 330
Burke, VA 22015-3750

Phone

(703) 323-3930

Fax

(703) 323-7457

NPI assigned

Apr 28, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Allergy/Immunology

Education

Northeastern Ohio University College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Partners PLLCGroup PAC ID 7113822420, 144 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.

• Allergy Partners, PLLC

  dba Allergy Partners of Burke

  • Allergy & Immunology Physician
  • Burke, VA
  • NPI 1144613522

  DC

  Medicare reassignment Care Compare group NPD
• Allergy Partners, PLLC

  dba Allergy Partners of Oklahoma

  • Allergy & Immunology Physician
  • Enid, OK
  • NPI 1497130710
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1356516546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2644",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 BURKE CENTRE PKWY STE 330",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153750",
            "telephone_number": "703-323-3930",
            "fax_number": "703-323-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYAGARAJAN",
        "first_name": "ANANTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101247154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356516546",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "403996ZM8G",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Change With Purpose, LLC
• Tina Roseann Thomas, DO
• Susan L. Thornton
• William Robert Thornton III, MABC
• Three Oaks Wellness, PLLC
• Carlo Tirso
• Philip John Tomaselli Jr., DDS
• April Ton, D.D.S.
• Toan Tan Trac, DPT
• Mimi Ngoc Tran-Ly, PHARMD

• Allergy & Immunology Physician in Burke, VA
• Providers in Burke, VA by specialty
• Allergy & Immunology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.