Individual provider Active NPI

Annabella Thantu, M.D.

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1679645527
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
196321 Issued in NY
Practice address
265 Ashland PL
Brooklyn, NY 11217-1661
Phone
(718) 858-7200
Fax
(718) 260-8630
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 196321 NY Primary

Addresses

Primary practice location

265 Ashland PL
Brooklyn, NY 11217-1661

Mailing address

190B Wilmot Rd
New Rochelle, NY 10804-1517
Phone (914) 844-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260421001096 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6901372580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196321NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Health Center Pharmacy Past Accepting new patients
Brooklyn Health Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: annabella.thantu.1@18107.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1679645527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190B WILMOT RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108041517",
            "telephone_number": "914-844-2535",
            "fax_number": "718-260-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 ASHLAND PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171661",
            "telephone_number": "718-858-7200",
            "fax_number": "718-260-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANTU",
        "first_name": "ANNABELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "196321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.