Sindhu H Thota, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

017651 Issued in GA

Practice address

540 Ocean Blvd
Saint Simons Island, GA 31522-4826

Phone

(912) 638-8073

Fax

(912) 638-6628

NPI assigned

Jan 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Ophthalmology

Education

Other, 1967

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1700865987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 OCEAN BLVD",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224826",
            "telephone_number": "912-638-8073",
            "fax_number": "912-638-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 OCEAN BLVD",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224826",
            "telephone_number": "912-638-8073",
            "fax_number": "912-638-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTA",
        "first_name": "SINDHU",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "017651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110591A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Chiropractic Palms PC
• The Mobile Physical Therapist
• Thomas J. Sayer, D.D.S., P.C.
• Laura Gordon Thomas, PHARMD
• Paul Everett Thompson
• Shelia Thurman
• Janna Torontali
• Kelly High Trowbridge, LCSW
• Clyde Franklin Truan III, PH.D.
• Mitchell L. Tuttle, PHARMD

• Ophthalmology Physician in Saint Simons Island, GA
• Providers in Saint Simons Island, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.