Suresh Chandra Prabhudas Thakker, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35064765-T Issued in OH

Practice address

1420 Clark St
Cambridge, OH 43725-9617

Phone

(740) 435-4020

Fax

(404) 354-0297

NPI assigned

Aug 17, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spthakker@seormc.org
• Direct secure messaging: sthakker261992@direct.metrohealth.org
• Direct secure messaging: suresh.thakker.p11@direct.loraincountyhealth.nextgenshare.com

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.

• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872
  Medicare reassignment NPD
• Lorain County Health & Dentistry

  • Clinic/Center
  • Lorain, OH
  • NPI 1215194527
  Medicare reassignment NPD
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Malta, OH
  • NPI 1205018348
  Medicare reassignment NPD
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896

  Pediatrics

  Medicare reassignment NPD
• Lorain County Health & Dentistry

  • Clinic/Center
  • Oberln, OH
  • NPI 1528430097

  Pediatrics

  NPD
• Lorain County Health & Dentistry

  • Community/Retail Pharmacy
  • Lorain, OH
  • NPI 1871304550
  NPD
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Zanesville, OH
  • NPI 1851285019
  NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Cambridge, OH
  • NPI 1295118883
  NPD (past)
• Southeastern Ohio Regional Medical Center Inc

  • Rural Acute Care Hospital
  • Cambridge, OH
  • NPI 1346247350
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982717302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259612",
            "telephone_number": "740-439-0733",
            "fax_number": "740-439-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259617",
            "telephone_number": "740-435-4020",
            "fax_number": "404-354-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKER",
        "first_name": "SURESH CHANDRA",
        "middle_name": "PRABHUDAS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35064765-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0926207",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SPThakker@seormc.org",
            "affiliation": "Y",
            "affiliationName": "Southeastern Ohio Regional Medical Center Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1420 Clark St",
            "city": "Cambridge",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437259617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Taylor
• Nicole Taylor
• Robert E Taylor, M.D.
• Stephanie J Taylor, CDCA
• Karli Tellep, MSN, APRN, AGACNP-BC
• Vimala Thamburaj, M. D.
• Erin M Tharp, R.PH.
• The House of Samuel, Inc.
• The House of Samuel, Inc.
• The Pain Management Clinic LLC

• Pediatrics Physician in Cambridge, OH
• Providers in Cambridge, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.