Individual provider Active NPI

Anna Kalathil Thomas, M.D.

  • Pediatric Radiology Physician
  • Louisville, KY
National Provider Identifier
1801070750
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
A86701 Issued in CA
Practice address
231 E Chestnut St
Louisville, KY 40202-1821
Phone
(502) 629-7661
Fax
(502) 629-5309
NPI assigned
Dec 27, 2007
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 53232 KY
Pediatric Radiology Physician 2085P0229X 53019 TN
Pediatric Radiology Physician 2085P0229X A86701 CA Primary
Diagnostic Radiology Physician 2085R0202X 53019 TN

Addresses

Primary practice location

231 E Chestnut St
Louisville, KY 40202-1821

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

12384 Vivienda Ave
Grand Terrace, CA 92313-5621
Phone (909) 825-5295

Other practice location 2

848 Adams Ave # G216
Memphis, TN 38103-2816
Phone (909) 287-6938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151005002812 TN Practitioner - Diagnostic Radiology 2567522485 Reassigns benefits to 1 organization
I20200928002996 CA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2567522485 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Drexel University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Los Angeles Medical Group IncGroup PAC ID 0143126920, 288 clinicians

Practice addresses (Care Compare)

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-8408

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86701CAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Ut Lebonheur Pediatric Specialists, Inc. Pediatric Radiology CurrentSince Aug 17, 2015 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Nov 30, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 30, 2021 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince May 16, 2022 Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Aug 15, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Nov 30, 2021 Accepting new patients
University of California San Francisco CurrentSince Nov 30, 2021 Accepting new patients
University of California San Francisco Current Accepting new patients
North Shore Radiology at Glen Cove PC PastSince Sep 1, 2010 Accepting new patients
The Carle Foundation Hospital Past Accepting new patients
Glen Cove Hospital Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Southside Hospital Past Accepting new patients
North Shore University Hospital Past Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Children's Hospital at Mission Past Accepting new patients
Hoopeston Community Memorial Hospital Past Accepting new patients
Advanced Imaging & Radiology of Lenox Hill Hospital PC Diagnostic Radiology Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800

1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360

848 Adams Ave
#G216
Memphis, TN 38103
Phone (901) 287-6938

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1801070750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CHESTNUT ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021821",
            "telephone_number": "502-629-7661",
            "fax_number": "502-629-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12384 Vivienda Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Terrace",
            "state": "CA",
            "postal_code": "923135621",
            "country_code": "US",
            "telephone_number": "909-825-5295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "848 Adams Ave # G216",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032816",
            "country_code": "US",
            "telephone_number": "909-287-6938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANNA",
        "middle_name": "KALATHIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KY",
            "license": "53232",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TN",
            "license": "53019",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "A86701",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "53019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.