Individual provider Active NPI

Sandya Thimmappa, M.D.

  • Ophthalmology Physician
  • Greensboro, NC
National Provider Identifier
1477505113
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200200614 Issued in NC
Practice address
1317 N Elm St
Suite 4
Greensboro, NC 27401
Phone
(336) 378-1442
Fax
(336) 378-1970
NPI assigned
May 17, 2006
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200200614 NC Primary

Addresses

Primary practice location

1317 N Elm St
Suite 4
Greensboro, NC 27401

Mailing address

1317 N Elm St
Suite 4
Greensboro, NC 27401-1033
Phone (336) 378-1442

Other identifiers 4

IdentifierTypeStateIssuer
89132F9MedicaidNC
2135314OtherNCUNITED HEALTHCARE OF NC
132F9OtherNCBLUE CROSS BLUE SHIELD
25448OtherNCOPTICARE

Other names 1

  • Dr. Sandya Thimmappa Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000771 NC Practitioner - Ophthalmology 3072502152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Groat Eyecare Associates, P.a.Group PAC ID 3971507559, 4 clinicians

Practice addresses (Care Compare)

1317 N Elm St
Suite 4
Greensboro, NC 27401-1023
Phone (336) 378-1442

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Groat Eyecare Associates, P.a. Ophthalmology CurrentSince Jun 12, 2006 Accepting new patients
Ophthalmic Consultants Corneal and Refractive Surgery Associates PC Ophthalmology Past Accepting new patients
Southeastern Cataract Laser Center Ophthalmology Past Accepting new patients
Donald J Digby MD PA PastSince Sep 10, 2012 Accepting new patients
Donald J Digby MD PA Ophthalmology Past Accepting new patients

Locations

1317 N Elm St
Ste 4
Greensboro, NC 27401
Phone (336) 378-1442

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1477505113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 4",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011033",
            "telephone_number": "336-378-1442",
            "fax_number": "336-378-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST",
            "address_2": "SUITE 4",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "336-378-1442",
            "fax_number": "336-378-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIMMAPPA",
        "first_name": "SANDYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200200614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132F9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF NC",
            "identifier": "2135314",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "132F9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "25448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDYA",
            "last_name": "THIMMAPPA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.