Individual provider Active NPI

Pratibha Sahil Thakkar, MD, MPH

  • Neonatal-Perinatal Medicine Physician
  • Lexington, KY
National Provider Identifier
1689068561
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
51200 Issued in KY
Practice address
800 Rose St
4TH FL
Lexington, KY 40536
Phone
(859) 562-1085
Fax
(859) 257-5152
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 51200 KY Primary

Addresses

Primary practice location

800 Rose St
4TH FL
Lexington, KY 40536

Mailing address

800 Rose St
MN-140
Lexington, KY 40536-0293
Phone (859) 323-6768

Other practice location 1

University Of Kentucky
800 Rose Street
Lexington, KY 40536
Phone (859) 323-2636

Other names 1

  • Pratibha S Agarwal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OK2 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

Enrollment IDStateProvider typePAC IDDetails
I20210623001841 KY Practitioner - Pediatric Medicine 7315296506 Reassigns benefits to 1 organization
I20230125000314 OK Practitioner - Pediatric Medicine 7315296506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51200KYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc CurrentSince Oct 13, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Oct 13, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc CurrentSince Jul 1, 2021 Accepting new patients
Ou Medicine Inc. Past Accepting new patients

Locations

800 Rose St
#140
Lexington, KY 40536
Phone (859) 257-6006

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Fl 4
Lexington, KY 40536
Phone (859) 218-0921

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

1200 Everett Dr
Oklahoma City, OK 73104
Phone (405) 271-2429

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • Direct secure messaging: pthakkar29932@ouhealth.direct-ci.net
  • Direct secure messaging: pthakkar18116@ukhcdirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1689068561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "MN-140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360293",
            "telephone_number": "859-323-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "4TH FL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-562-1085",
            "fax_number": "859-257-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Kentucky",
            "address_2": "800 Rose Street",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40536",
            "country_code": "US",
            "telephone_number": "859-323-2636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "PRATIBHA",
        "middle_name": "SAHIL",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "KY",
            "license": "51200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATIBHA",
            "last_name": "AGARWAL",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.