Individual provider Active NPI

Inderpal S Thethi, M. D.

  • Pulmonary Disease Physician
  • Lima, OH
National Provider Identifier
1477756757
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.094974 Issued in OH
Practice address
1003 Bellefontaine Ave Ste 150
Lima, OH 45804-1871
Phone
(419) 998-8295
Fax
(419) 226-8323
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.094974 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 57614 TN
Pulmonary Disease Physician 207RP1001X 57614 TN
Pulmonary Disease Physician 207RP1001X 35.094974 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave Ste 150
Lima, OH 45804-1871

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other practice location 1

550 Fort Loudoun Medical Center Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6000

Other practice location 2

10904 Kingston Pike Ste 102
Knoxville, TN 37934-2952
Phone (865) 392-1540

Other practice location 3

988 Oak Ridge Tpke Ste L20
Oak Ridge, TN 37830-6944
Phone (865) 444-4321

Other practice location 4

2240 Sutherland Ave Ste 103
Knoxville, TN 37919
Phone (865) 588-8831

Other identifiers 1

IdentifierTypeStateIssuer
35.094974OtherOHOH MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210506001058 OH Practitioner - Pulmonary Disease 4082748017 Reassigns benefits to 2 organizations
I20211206002508 HI Practitioner - Critical Care (Intensivists) 4082748017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 Taylor Station Rd
Suite 200
Columbus, OH 43213-4470
Phone (614) 627-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.44 of 100Reported as group
Quality
75.57
Promoting interoperability
79
Improvement activities
40
Cost
73.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.094974OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Veterans Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Jun 27, 2022 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Apr 1, 2021 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Apr 1, 2021 Accepting new patients
Mount Carmel Healthproviders Two LLC Current Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Pope Physician Services LLC Past Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

L3982
Columbus, OH 43260

150 Taylor Station Rd
Ste 200
Columbus, OH 43213
Phone (614) 627-1300

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

1003 Bellefontaine Ave
Ste 150
Lima, OH 45804
Phone (419) 998-8207

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

Interoperability endpoints

  • Direct secure messaging: ithelthi1840162@direct.trinity-health.org

Organizations & group practices 9

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

Hospital & facility affiliations 6

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1477756757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE STE 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041871",
            "telephone_number": "419-998-8295",
            "fax_number": "419-226-8323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Fort Loudoun Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725673",
            "country_code": "US",
            "telephone_number": "865-271-6000",
            "fax_number": "865-271-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10904 Kingston Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342952",
            "country_code": "US",
            "telephone_number": "865-392-1540",
            "fax_number": "868-392-1342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "988 Oak Ridge Tpke Ste L20",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378306944",
            "country_code": "US",
            "telephone_number": "865-444-4321",
            "fax_number": "865-338-5588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2240 Sutherland Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37919",
            "country_code": "US",
            "telephone_number": "865-588-8831",
            "fax_number": "868-588-8841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THETHI",
        "first_name": "INDERPAL",
        "middle_name": "S",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.094974",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TN",
            "license": "57614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "57614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.094974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OH MEDICAL LICENSE",
            "identifier": "35.094974",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.