Shanthi Thangam, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K7111 Issued in TX

Practice address

511 N Alleghaney Ave
Odessa, TX 79761-4405

Phone

(432) 337-9000

Fax

(432) 337-2545

NPI assigned

Aug 9, 2006

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Opgt, Inc.Group PAC ID 6901029206, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shanthi.thangam@3711.securemail.prognocis.com

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.

• Opgt Inc

  dba Opgt

  • Psychiatry Physician
  • Midland, TX
  • NPI 1366864951
  Medicare reassignment Care Compare group NPD
• Shanthi Thangam, MD PA

  • Psychiatry Physician
  • Odessa, TX
  • NPI 1134473382
  Medicare reassignment NPD Authorized official
• Behavioral Health Center of the Permian Basin LLC

  • Psychiatric Hospital
  • Midland, TX
  • NPI 1396184180
  NPD (past)
• Bexar County Board of Trustees for Mental Health Mental Retardation

  dba The Center for Health Care Services

  • Counselor
  • San Antonio, TX
  • NPI 1730134586
  NPD (past)
• Department of State Health Services

  dba Texas Center for Infectious Disease

  • Clinic/Center
  • San Antonio, TX
  • NPI 1316000144
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1417967423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N JACKSON AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615124",
            "telephone_number": "432-337-9000",
            "fax_number": "432-337-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N ALLEGHANEY AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614405",
            "telephone_number": "432-337-9000",
            "fax_number": "432-337-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAM",
        "first_name": "SHANTHI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K7111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046180802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Spine and Sports Institute PLLC
• Texas Tech University Health Science Center Odessa (Texas Tech Physicians of the Permian Basin)
• Texas Tech University Health Sciences Center Odessa
• Texas Transport Service
• Tina Thai
• The Naidu Clinic, PA
• The Odessa Birth Center, PLLC (Odessa Birth & Wellness)
• The Odessa Birth Center, PLLC (Odessa Birth & Wellness)
• The Women's Center of the Permian Basin PA
• Thomas C Turner, MD (Turner Eye Clinic)

• Psychiatry Physician in Odessa, TX
• Providers in Odessa, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.