Active NPI
Thejaswi Karnayana Poonacha, MBBS
- Internal Medicine Physician
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 55335
- Practice address
- 2450 Riverside Ave
Minneapolis, MN 55454-1450 - Phone
- (612) 273-4000
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54916 | WI | |
| Internal Medicine Physician | 207R00000X | 103381 | GA | |
| Internal Medicine Physician | 207R00000X | 55335 | MN | Primary |
Addresses
Primary practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (608) 782-7300
Other practice location 1
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6999
Hospital & facility affiliations
- Emory Johns Creek Hospital
- Emory University Hospital Midtown
- M Health Fairview University of MN Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.68 of 100
- Quality
- 89.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55335 | MN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healtheast Care System | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Current | Accepting new patients | |
| Healtheast Medical Research Institute | Internal Medicine | Current | Accepting new patients |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Internal Medicine | Current | Accepting new patients |
| Fairview Bethesda Hospital | Current | Accepting new patients | |
| Ehca Johns Creek, LLC | Past | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002
69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Interoperability endpoints
- tkarnayanapoonacha1168288@direct.emory.org
- tkarnayanapoonacha281434@fairview.direct-ci.com
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Long Term Care Hospital
- Saint Paul, MN
- NPI 1194787465
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Clinic/Center
- Vadnais Heights, MN
- NPI 1639125503
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Primary Care Clinic/Center
- Edina, MN
- NPI 1346432200
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Johns Creek, GA
- NPI 1679632137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1639309560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "608-782-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 RIVERSIDE AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541450",
"telephone_number": "612-273-4000"
}
],
"practiceLocations": [
{
"address_1": "450 Northside Cherokee Blvd",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301158015",
"country_code": "US",
"telephone_number": "770-224-1000",
"fax_number": "770-224-2451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARNAYANA POONACHA",
"first_name": "THEJASWI",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "54916",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "103381",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "55335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.