NPIMap

Individual provider Active NPI

Natarajan Thannoli, MD

  • Cardiovascular Disease Physician
  • Somerset, KY
National Provider Identifier
1811973167
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31681 Issued in KY
Practice address
55 Thannoli Dr
Somerset, KY 42503-2861
Phone
(606) 677-0854
Fax
(606) 677-9311
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 31681 KY Primary

Addresses

Primary practice location

55 Thannoli Dr
Somerset, KY 42503-2861

Mailing address

PO Box 910670
Lexington, KY 40591-0670
Phone (859) 971-4685

Other identifiers 1

IdentifierTypeStateIssuer
64316813MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nthannoli9025@bhkydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051107000080 KY Practitioner - Cardiovascular Disease (Cardiology) 2860410032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1 Trillium Way
MTM/DSM
Corbin, KY 40701-8727
Phone (606) 526-4647

1700 Nicholasville Rd
Lexington, KY 40503-1431

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1451
Phone (859) 277-5887

4071 Tates Creek Centre Dr
Suite 202
Lexington, KY 40517-3094
Phone (859) 260-4390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31681KYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Russell County Hospital Current Accepting new patients
Russell County Hospital CurrentSince Jan 10, 2015 Accepting new patients
Russell County Hospital CurrentSince Jan 10, 2015 Accepting new patients

Locations

60 S Stewart Rd
Corbin, KY 40701
Phone (606) 258-8888

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

153 Dowell Rd
Russell Springs, KY 42642
Phone (270) 866-4141

55 Thannoli Dr
Somerset, KY 42503
Phone (606) 677-0854

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1811973167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910670",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405910670",
            "telephone_number": "859-971-4685",
            "fax_number": "859-971-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 THANNOLI DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032861",
            "telephone_number": "606-677-0854",
            "fax_number": "606-677-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANNOLI",
        "first_name": "NATARAJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "31681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64316813",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nthannoli9025@bhkydirect.com",
            "affiliation": "N",
            "address_1": "55 Thannoli Dr",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "425032861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.