Individual provider Active NPI

Mohan Thirumala, M.D.

  • Specialist
  • Lighthouse Point, FL
National Provider Identifier
1740318955
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0031672 Issued in FL
Practice address
3170 N Federal Hwy
Suite 100C
Lighthouse Point, FL 33064-6700
Phone
(954) 786-1104
Fax
(954) 786-7591
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0031672 FL Primary

Addresses

Primary practice location

3170 N Federal Hwy
Suite 100C
Lighthouse Point, FL 33064-6700

Mailing address

3170 N Federal Hwy
Suite 100C
Lighthouse Point, FL 33064-6700
Phone (954) 786-1104

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
ME0031672FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Monson, Thirumala & Associates, MDS, P.a. Specialist Past Accepting new patients

Organizations & group practices 1

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740318955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 100C",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-786-1104",
            "fax_number": "954-786-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3170 N FEDERAL HWY",
            "address_2": "SUITE 100C",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646700",
            "telephone_number": "954-786-1104",
            "fax_number": "954-786-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUMALA",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0031672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.