Individual provider Active NPI

Thiru S Arasu, MD

  • Pediatric Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1699770578
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
ME0044144 Issued in FL
Practice address
3003 W Dr MLK Jr Blvd
Mab 3Rd Floor
Tampa, FL 33607
Phone
(813) 870-4438
Fax
(813) 870-4153
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X ME0044144 FL Primary

Addresses

Primary practice location

3003 W Dr MLK Jr Blvd
Mab 3Rd Floor
Tampa, FL 33607

Mailing address

3003 W Dr MLK Jr Blvd
Mab 3Rd Floor
Tampa, FL 33607
Phone (813) 870-4438

Other identifiers 1

IdentifierTypeStateIssuer
069158500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0044144FLMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thiru S. Arasu, MD, PA Pediatric Gastroenterology Past Accepting new patients
Thiru S. Arasu M.D., P.a. Pediatric Gastroenterology Past Accepting new patients
Thiru S. Arasu, M.D., P.a. Pediatric Gastroenterology Past Accepting new patients
Thiru S. Arasu, M.D., P.a. Pediatric Gastroenterology Past Accepting new patients
Thiru S. Arasu, M.D., P.a. Pediatric Gastroenterology Past Accepting new patients
Thiru S. Arasu, M.D., P.a. Pediatric Gastroenterology Past Accepting new patients

Organizations & group practices 6

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1699770578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W DR MLK JR BLVD",
            "address_2": "MAB 3RD FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-870-4438",
            "fax_number": "813-870-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W DR MLK JR BLVD",
            "address_2": "MAB 3RD FLOOR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-870-4438",
            "fax_number": "813-870-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARASU",
        "first_name": "THIRU",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME0044144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069158500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.