Individual provider Active NPI

Philomina Oommen Thuruthumaly, M.D.

  • Anesthesiology Physician
  • Princeton, IN
National Provider Identifier
1861585663
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01064335A Issued in IN
Practice address
1808 Sherman Dr
Princeton, IN 47670-1043
Phone
(812) 385-9231
Fax
(812) 385-9303
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X E4570 AR
Anesthesiology Physician 207L00000X 01064335A IN Primary

Addresses

Primary practice location

1808 Sherman Dr
Princeton, IN 47670-1043

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 2

IdentifierTypeStateIssuer
01064335AOtherINSTATE LICENSE
200911900MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070411000282 AR Practitioner - Anesthesiology 0941305437 Reassigns benefits to 2 organizations
I20200115001631 OK Practitioner - Anesthesiology 0941305437 Reassigns benefits to 2 organizations
I20240516000609 TX Practitioner - Anesthesiology 0941305437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason Hemmerich MD PAGroup PAC ID 5597032342, 10 clinicians

Practice addresses (Care Compare)

7100 SW 9TH Ave
Amarillo, TX 79106-1704
Phone (806) 354-6100

Hospital & facility affiliations

  • Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4570ARMDAnesthesiology Physician
01064335AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Anesthesiology CurrentSince Jan 3, 2022 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Jul 17, 2023 Accepting new patients
Arkansas Health Group Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients
Jason Hemmerich MD PA Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Arkansas Anesthesia Associates, PLLC. Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Ans Services of Arkansas PA Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Southern Illinois Anesthesia LTD Anesthesiology Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

7100 W 9th Ave
Amarillo, TX 79106
Phone (806) 212-0247

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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.

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1861585663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-473-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-9231",
            "fax_number": "812-385-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURUTHUMALY",
        "first_name": "PHILOMINA",
        "middle_name": "OOMMEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "E4570",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01064335A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01064335A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911900",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

Verify at the official NPI Registry.