Supraja Thunuguntla

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

173110 Issued in MT

Practice address

1300 28TH St S FL 2
Great Falls, MT 59405-5296

Phone

(406) 455-4320

Fax

(406) 731-8318

NPI assigned

Mar 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 (NPD)

Enrolled

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1467957324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6010",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594066010",
            "telephone_number": "406-731-8817",
            "fax_number": "406-731-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 28TH ST S FL 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055296",
            "telephone_number": "406-455-4320",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 Treasure Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508736",
            "country_code": "US",
            "telephone_number": "956-296-1590",
            "fax_number": "956-389-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THUNUGUNTLA",
        "first_name": "SUPRAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MT",
            "license": "173110",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon F Thompson, NCTMB
• Aimee Thornton, PHARMD
• Karen Elaine Thornton, PT
• Belinda Sue Thrift, LCPC
• Marcus Thune
• Debra L Thurman, LCSW
• Gregory S Tierney, M.D.
• Necia Marie Tierney, FNP
• John Gregory Tilton, BA MED LCPC NCC
• Kathleen Reed Tilton, LCPC

• Clinical Cardiac Electrophysiology Physician in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Clinical Cardiac Electrophysiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.