Lisa J Thannikary, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

0101248535 Issued in VA

Practice address

1215 Lee St
Department of Anesthesiology
Charlottesville, VA 22908-0710

Phone

(434) 924-9508

NPI assigned

Jun 3, 2008

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Anesthesiology

Education

University of Florida College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Connections-Virginia, LLCGroup PAC ID 6608166335, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anesthesia Connections-Virginia, LLC

  dba Anesthesia Connections

  • Anesthesiology Physician
  • Midlothian, VA
  • NPI 1922337930
  Medicare reassignment Care Compare group
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1740449909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 GATEWICK PL",
            "city": "KESWICK",
            "state": "VA",
            "postal_code": "229479119",
            "telephone_number": "434-202-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080710",
            "telephone_number": "434-924-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANNIKARY",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME87621",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101248535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267044500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Teter
• Pamela Ann Tetro, FNP
• Alexis Tew
• Rachel Thal-Larsen, PA
• Matthew R Thames, MD, MBA
• Ranjeeta Thapa, PHD
• Nell Draper Tharp, NP
• The Allergist LTD
• The Arc of the Piedmont
• The Arc of the Piedmont, Inc.

• Anesthesiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.