Samuel Thalathoti, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MB12210000 Issued in NJ

Practice address

18 E Laurel Rd
Stratford, NJ 08084-1327

Phone

(856) 346-6000

NPI assigned

Apr 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, AR, KY, NC4 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 4

Specialty

Emergency Medicine

Education

Philadelphia College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Emergency Physician Associates of South Jersey P CGroup PAC ID 5294648457, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
• Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
• Rutherford Regional Medical Center Hospital, Rutherfordton, NC, CCN 340013
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Emergency Physician Associates of South Jersey P C

  • Emergency Medicine Physician
  • Voorhees, NJ
  • NPI 1215965231
  Medicare reassignment Care Compare group NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, NC

  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR, NC

  Medicare reassignment Care Compare group NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

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

• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• DLP Central Carolina Medical Center LLC

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation
• DLP Haywood Regional Medical Center LLC.

  • General Acute Care Hospital
  • Clyde, NC
  • NPI 1811158215
  Care Compare affiliation
• DLP Rutherford Regional Health System, LLC

  • General Acute Care Hospital
  • Rutherfordton, NC
  • NPI 1245321181
  Care Compare affiliation
• Kentucky Hospital, LLC

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1801478094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E LAUREL RD",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841327",
            "telephone_number": "856-346-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALATHOTI",
        "first_name": "SAMUEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB12210000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun R Tamashausky, DO
• Wayne G. Tamaska, DO
• Peter Sherman Tatum
• Lanvin F Taylor II, D.O.
• Mihir Gautam Thaker, DO
• Arun Mathew Thalody, DO
• Jacob Bryce Thatcher, DO
• Chetna Thawani
• Ashley Thomas
• May A Thomas, M. D.

• Emergency Medicine Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.