Active NPI
Surya Rao Thota, M.D.
- Anesthesiology Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301041520
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (810) 257-9284
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301041520 | MI | Primary |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 257-9284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5705237 | Other | MI | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041520 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesee Medical Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Anesthesiology | Current | Accepting new patients |
| Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Memorial Hospital | Current | Accepting new patients | |
| Memorial Hospital | Anesthesiology | Current | Accepting new patients |
| Monroe Community Health Services | Past | Accepting new patients | |
| West Central Anesthesiology Group LTD | Anesthesiology | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
1900 State St
Chester, IL 62233
Phone (618) 826-2388
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
5202 Miller Rd
Flint, MI 48507
Phone (810) 720-8900
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Flint, MI
- NPI 1861579542
-
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1043757487
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
-
- Institutional Pharmacy
- Chester, IL
- NPI 1023603289
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1447206719
-
- Anesthesiology Physician
- Rosemont, IL
- NPI 1396785648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790739068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-257-9284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HURLEY PLZ",
"city": "FLINT",
"state": "MI",
"postal_code": "485035902",
"telephone_number": "810-257-9284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOTA",
"first_name": "SURYA",
"middle_name": "RAO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301041520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5705237",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.