Organization Active NPI

Thomas J. Nedumthottathil, MD

  • Internal Medicine Physician
  • Shelbyville, TN
National Provider Identifier
1598099822
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THOMAS J. NEDUMTHOTTATHIL, MD
Doing business as
Shelbyville Internal Medicine
Practice address
2839 Highway 231 N
Suite 5
Shelbyville, TN 37160-7447
Phone
(931) 685-8620
Fax
(931) 685-8621
NPI assigned
Sep 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Thomas J Nedumthottathil, MDNPI 1730241159
Title
Owner
Phone
(931) 685-8620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2839 Highway 231 N
Suite 5
Shelbyville, TN 37160-7447

Mailing address

2839 Highway 231 N
Suite 5
Shelbyville, TN 37160-7447
Phone (931) 685-8620

Other names 1

  • Shelbyville Internal Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2839 Highway 231 N
Ste 5
Shelbyville, TN 37160
Phone (931) 685-8620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1598099822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 HIGHWAY 231 N",
            "address_2": "SUITE 5",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-685-8620",
            "fax_number": "931-685-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 HIGHWAY 231 N",
            "address_2": "SUITE 5",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607447",
            "telephone_number": "931-685-8620",
            "fax_number": "931-685-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. NEDUMTHOTTATHIL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "NEDUMTHOTTATHIL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-685-8620",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelbyville Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.