Individual provider Active NPI

Anoop Thakur, M.D.

  • Psychiatry Physician
  • Marshall, MI
National Provider Identifier
1861433211
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301058702 Issued in MI
Practice address
15209 W Michigan Ave
Marshall, MI 49068-9570
Phone
(269) 781-9119
Fax
(269) 789-4347
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301058702 MI Primary

Addresses

Primary practice location

15209 W Michigan Ave
Marshall, MI 49068-9570

Mailing address

15209 W Michigan Ave
Marshall, MI 49068-9570
Phone (269) 781-9119

Other identifiers 4

IdentifierTypeStateIssuer
2601301142OtherMIBCBSM
7509107630OtherMIBLUE CROSS BLUE SHIELD
4305100MedicaidMI
3190590MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040303000890 MI Practitioner - Psychiatry 6709773781 Reassigns benefits to 3 organizations
Practice locations: Battle Creek, MI; Marshall, MI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

15209 W Michigan Ave
Marshall, MI 49068-9570
Phone (269) 781-9119

15217 W Michigan Ave
Oaklawn Med Holistic
Marshall, MI 49068-9570
Phone (269) 789-3873

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Hospital & facility affiliations

  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Psychiatry CurrentSince Dec 3, 1991 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Dec 3, 1991 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 6, 2004 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Feb 6, 2004 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Branch County Community Mental Health Authority CurrentSince Jun 1, 2007 Accepting new patients

Locations

200 Vista Dr
Coldwater, MI 49036
Phone (517) 278-2129

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

15209 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-9119

Interoperability endpoints

  • Direct secure messaging: anoop.thakur.1@9698.direct.athenahealth.com
  • Direct secure messaging: anoop.thakur.1@30969.direct.athenahealth.com
  • Direct secure messaging: anoopthakur@ohps.allscriptsdirect.net

Organizations & group practices 8

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 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1861433211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689570",
            "telephone_number": "269-781-9119",
            "fax_number": "269-789-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "ANOOP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301058702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2601301142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7509107630",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3190590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.