Indira S Thirkannad, M.D

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

25MA10411200 Issued in NJ

Practice address

234 E Gray St Ste 766
Louisville, KY 40202-1901

Phone

(502) 583-7337

Fax

(502) 584-5437

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ithirkannad124971@direct-chsli.net
• Direct secure messaging: indira.thirkannad.1@8568.direct.athenahealth.com
• Direct secure messaging: ithirkannad30140@albanymed.direct-ci.com

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.

• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  Medicare reassignment NPD
• Barnabas Health Medical Group PC

  • Specialist
  • Elizabeth, NJ
  • NPI 1841557246
  Medicare reassignment NPD
• Samaritan Pediatric Services, P.C.

  • Pediatrics Physician
  • Babylon, NY
  • NPI 1730308925
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392
  Medicare reassignment NPD
• Albany Medical College

  dba Albany Med EmUrgent Care

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  dba Albany Medical College Dept of Surgery

  • General Practice Physician
  • Albany, NY
  • NPI 1548290455

  Pediatric Surgery

  NPD
• Albany Medical College

  dba Albany Medical College Dept of PM&R

  • Physical Medicine & Rehabilitation Physician
  • Albany, NY
  • NPI 1629008537
  NPD
• Barnabas Health Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Hackensack, NJ
  • NPI 1316772668
  NPD
• Westchester Medical Center Advanced Physician Services PC

  • Anesthesiology Physician
  • Valhalla, NY
  • NPI 1740687458
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1679662258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 766",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "502-583-7337",
            "fax_number": "502-584-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 766",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "502-583-7337",
            "fax_number": "502-584-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRKANNAD",
        "first_name": "INDIRA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "KY",
            "license": "40425",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "25MA10411200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "40425",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Thieneman, PHARMD
• Mary Lynn Thieneman, LCSW, LMFT
• Zachary James Thieneman
• Rajinder K Thind, MD
• Third and Oak Corporation (Treyton Oak Towers)
• Sunil Manjunath Thirkannad, MD
• Senthilnathan Thirugnanasambandam, MD
• Nishanth Thiyagarajah
• Julie Grear Thoben
• Piero Martin Thol, ATC, LAT

• Pediatric Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.