Individual provider Active NPI

Kamala Thanapandian, MD

  • Obstetrics & Gynecology Physician
  • Tamuning, GU
National Provider Identifier
1396984845
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M1968 Issued in GU
Practice address
472 Chalan San Antonio
Tamuning, GU 96913-3605
Phone
(671) 647-1830
Fax
(671) 647-1919
NPI assigned
Feb 6, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care Group 929 clinicians

Practice addresses (Care Compare)

1031 Bellevue Ave
Suite 400
Saint Louis, MO 63117-1858
Phone (314) 977-7455

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, MO2 enrollments
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.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160823002820 GU Practitioner - Obstetrics/Gynecology 8022303551 Reassigns benefits to 3 organizations
I20231209000411 MO Practitioner - Obstetrics/Gynecology 8022303551 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000048651TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Memorial Hospital CurrentSince Jul 7, 2016 Accepting new patients
SSM Health Care Group CurrentSince Dec 5, 2023 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Jul 19, 2016 Accepting new patients
Guam Memorial Hospital CurrentSince Jul 7, 2016 Accepting new patients
SSM Health Care Group Obstetrics & Gynecology CurrentSince Dec 5, 2023 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM Medical Group Inc. Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: kthanapandian500594@direct-ehr-ssmhc.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M1968 GU Primary
Obstetrics & Gynecology Physician 207V00000X MD0000048651 TN

Addresses

NPPES NPI Registry

Primary practice location

472 Chalan San Antonio
Tamuning, GU 96913-3605

Mailing address

136 Road E Apt B
Tamuning, GU 96913-3756
Phone (671) 482-1377

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2016.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1396984845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 ROAD E APT B",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133756",
            "telephone_number": "671-482-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133605",
            "telephone_number": "671-647-1830",
            "fax_number": "671-647-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANAPANDIAN",
        "first_name": "KAMALA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GU",
            "license": "M1968",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000048651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.