Thomas Thysseril, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-068545 Issued in OH

Practice address

18051 Jefferson Park Rd Ste 106
Cleveland, OH 44130-3460

Phone

(440) 816-5790

NPI assigned

Dec 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tthysseril@direct.swgeneral.com

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1699751909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001",
            "telephone_number": "440-816-6433",
            "fax_number": "440-816-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18051 JEFFERSON PARK RD STE 106",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303460",
            "telephone_number": "440-816-5790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYSSERIL",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-068545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298191",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260032152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendraya Thurman
• Maxine M Thurman
• Rebecca Thwing
• Christina Raju Thymalil, DO
• A. Mervyn Thynne, M.D.
• Alaina Tiani, PHD
• Molly Tice
• Rishard Ticey
• Akari Tichavakunda, M.D.
• Hemani Ticku, MD

• Psychiatry Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.