Muni K Theertham, MD | |
3500 S Lafountain St, Kokomo, IN 46902-3803 | |
(765) 776-3020 | |
(765) 453-8111 |
Full Name | Muni K Theertham |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 19 Years |
Location | 3500 S Lafountain St, Kokomo, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114183449 | NPI | - | NPPES |
000000724294 | Other | IN | ANTHEM |
1114183449 | Other | RR PTAN | |
201025960 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301091596 (Michigan) | Secondary |
207R00000X | Internal Medicine | 01069020A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
Community Hospital North | Indianapolis, IN | Hospital |
Memorial Hospital | Logansport, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Entity Name | Marion General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Muni K Theertham, MD 6626 E 75th St, Ste 500, Indianapolis, IN 46250-2805 Ph: () - | Muni K Theertham, MD 3500 S Lafountain St, Kokomo, IN 46902-3803 Ph: (765) 776-3020 |
Leny Philip, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 Fax: 765-864-4166 | |
Dr. Alok Silodia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 S Dixon Rd Ste 430, Kokomo, IN 46902 Phone: 765-453-1205 Fax: 765-453-6889 | |
Huan Cui, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5433 | |
Dr. Dawn Marie Sabau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3508 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8181 Fax: 765-453-8565 | |
Julie B Tredemeyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 S Reed Rd, Kokomo, IN 46902 Phone: 765-776-5500 | |
Karthik Rao Polsani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 Fax: 775-453-8111 |