Active NPI
Thanita Thongtan, MD
- Gastroenterology Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01095800A
- Practice address
- 550 S Landmark Ave
Bloomington, IN 47403-3239 - Phone
- (812) 355-6900
- NPI assigned
- May 9, 2019
- Last updated
- Dec 15, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Gastroenterology Physician | 207RG0100X | 01095800A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 01095800A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | GA |
Addresses
Primary practice location
550 S Landmark Ave
Bloomington, IN 47403-3239
Mailing address
5520 Leonardo Da Vinci Ste 100
Edinburg, TX 78539-1422
Phone (956) 362-3636
Other practice location 1
100 Woodruff Circle
Atlanta, GA 30322, GA 30307-1422
Phone (404) 727-4018
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tthongtan@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health Bedford Hospital
- Indiana University Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 21 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01095800A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
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.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Bedford Hospital
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
dba IU Health Bedford
- Ambulance
- Bedford, IN
- NPI 1346218799
Hospital
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1558926071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 LEONARDO DA VINCI STE 100",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391422",
"telephone_number": "956-362-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474033239",
"telephone_number": "812-355-6900"
}
],
"practiceLocations": [
{
"address_1": "100 Woodruff Circle",
"address_purpose": "LOCATION",
"city": "Atlanta, GA 30322",
"state": "GA",
"postal_code": "303071422",
"country_code": "US",
"telephone_number": "404-727-4018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THONGTAN",
"first_name": "THANITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01095800A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01095800A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tthongtan@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 S Landmark Ave",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "474033239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.