Active NPI
Arun Thukkani, MD
- Interventional Cardiology Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2022-01010
- Practice address
- 60 High St
Lewiston, ME 04240-7616 - Phone
- (207) 753-3900
- Fax
- (207) 753-3902
- NPI assigned
- Apr 3, 2007
- Last updated
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 2008021953 | MO | |
| Interventional Cardiology Physician | 207RI0011X | MD21380 | ME | |
| Hospitalist Physician | 208M00000X | 200802953 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2022-01010 | NC | Primary |
Addresses
Primary practice location
60 High St
Lewiston, ME 04240-7616
Mailing address
300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (366) 635-2203
Other practice location 1
1126 N Church St Ste 300
Greensboro, NC 27401-1037
Phone (336) 938-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1126 N Church St
Suite 300
Greensboro, NC 27401-1037
Phone (336) 938-0800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008021953 | MO | MD | Interventional Cardiology Physician |
| 2022-01010 | NC | MD | Interventional Cardiology Physician |
| 200802953 | MO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Central Maine Medical Center | Past | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Locations
1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205
3200 Northline Ave
Ste 250
Greensboro, NC 27408
Phone (336) 273-7900
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
Organizations & group practices 3
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.
-
dba Cone Health Sickle Cell Center
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1689653487
-
dba Center for Maternal Fetal Care
- Maternal & Fetal Medicine Physician
- Greensboro, NC
- NPI 1891351847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1467573659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011229",
"telephone_number": "366-635-2203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 HIGH ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407616",
"telephone_number": "207-753-3900",
"fax_number": "207-753-3902"
}
],
"practiceLocations": [
{
"address_1": "1126 N Church St Ste 300",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274011037",
"country_code": "US",
"telephone_number": "336-938-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THUKKANI",
"first_name": "ARUN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2008021953",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "ME",
"license": "MD21380",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "200802953",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NC",
"license": "2022-01010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.