Individual provider Active NPI

Sudha Naidu Thota, M.D

  • Neuroradiology Physician
  • Miami, FL
National Provider Identifier
1407047228
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
1669 Issued in FL
Practice address
1611 NW 12TH Ave
C 251
Miami, FL 33136-1005
Phone
(305) 585-7500
NPI assigned
Aug 6, 2007
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 1669 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
C 251
Miami, FL 33136-1005

Mailing address

5825 Medinah Dr
Newburgh, IN 47630-8524
Phone (786) 223-0637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ, IN, TX4 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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20101103000218 FL Practitioner - Diagnostic Radiology 7911191028 Reassigns benefits to 2 organizations
I20181227000230 NJ Practitioner - Diagnostic Radiology 7911191028 Reassigns benefits to 5 organizations
I20201009001705 IN Practitioner - Diagnostic Radiology 7911191028 Reassigns benefits to 5 organizations
I20260518003861 TX Practitioner - Diagnostic Radiology 7911191028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Specialist Solutions LLCGroup PAC ID 3476040247, 31 clinicians
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians
American Imaging of Southwest Florida, Inc.Group PAC ID 0143517276, 14 clinicians
University Radiology Group LLCGroup PAC ID 6608868500, 239 clinicians

Practice addresses (Care Compare)

1933 Willow Lake Dr
Newburgh, IN 47630-8077
Phone (361) 761-1000

23081 Harborview Rd
Port Charlotte, FL 33980-2153
Phone (941) 235-8762

483 Cranbury Rd
East Brunswick, NJ 08816-3610
Phone 73239000402022

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (863) 902-3000

5825 Medinah Dr
Newburgh, IN 47630-8524
Phone (732) 390-0040

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
63.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
73.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1669FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
American Imaging of Southwest Florida,Inc CurrentSince Sep 1, 2024 Accepting new patients
University Radiology at Trinitas, LLC CurrentSince Jan 1, 2019 Accepting new patients
University Radiology-Atlantic, LLC CurrentSince Jan 1, 2019 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Aug 1, 2022 Accepting new patients
Jersey Shore Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Partners Imaging Center of Sarasota LLC CurrentSince Jun 26, 2024 Accepting new patients
Union Hospital Inc. Current Accepting new patients
MRI Associates of Spring Hill, Inc CurrentSince Aug 1, 2023 Accepting new patients
Shi Specialists LLC CurrentSince Jun 15, 2024 Accepting new patients
MRI Associates of Crystal River CurrentSince Jan 1, 2024 Accepting new patients
Howard John Simon MD PC CurrentSince Aug 1, 2022 Accepting new patients
MRI Associates of St Pete Inc CurrentSince Jan 27, 2026 Accepting new patients
Hospital Specialist Solutions, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356

23081 Harborview Rd
Punta Gorda, FL 33980
Phone (941) 235-8762

1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

579A Cranbury Rd
East Brunswick, NJ 08816
Phone (732) 390-0030

579A Cranbury Rd
Fl 3
East Brunswick, NJ 08816

415 Morris Ave
Elizabeth, NJ 07208
Phone (908) 351-7600

3219 Route 46
Ste 110
Parsippany, NJ 07054
Phone (973) 334-1006

48 N Gilbert St
Tinton Falls, NJ 07701
Phone (732) 530-5750

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sthota@unionhealth.cernerdirect.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 5

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1407047228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 MEDINAH DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308524",
            "telephone_number": "786-223-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "C 251",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTA",
        "first_name": "SUDHA",
        "middle_name": "NAIDU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.