| Thomas J Nedumthottathil, MD | |
|
112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 | |
| (931) 685-8620 | |
| (931) 685-8621 |
| Full Name | Thomas J Nedumthottathil |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 112 Airport Business Park Dr, Shelbyville, Tennessee |
| 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 |
|---|---|---|---|
| 1730241159 | NPI | - | NPPES |
| 4163983 | Other | TN | BCBS |
| 4239941 | Other | TN | BCBS |
| 42635 | Other | TN | MEDICAID TLC |
| 1507217 | Medicaid | TN | |
| 1516785 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42606 (Tennessee) | Primary |
| 207R00000X | Internal Medicine | 25MA08034600 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lincoln Medical Center | Fayetteville, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Tennova Healthcare-shelbyville | Shelbyville, TN | Hospital |
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anova Medical Associates, Plc | 8325372741 | 123 |
| Hospital Medicine Services Of Tennessee Pc | 9234432881 | 139 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Lincoln Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578885620 PECOS PAC ID: 5597896225 Enrollment ID: O20100624000562 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Entity Name | Anova Medical Associates, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659849537 PECOS PAC ID: 8325372741 Enrollment ID: O20190618003690 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Nedumthottathil, MD 112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 Ph: (931) 685-8620 | Thomas J Nedumthottathil, MD 112 Airport Business Park Dr, Suite F, Shelbyville, TN 37160-7446 Ph: (931) 685-8620 |
Jennifer Jewelle Feldhaus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 216 Dale Ave, Shelbyville, TN 37160 Phone: 931-684-9235 | |
Dr. Nnamdi Ifeanyi Eze, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Frank Martin Rd Ste 102, Shelbyville, TN 37160 Phone: 931-680-0602 Fax: 931-680-0654 | |
Dr. Clifford L Garrard Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2839 Highway 231 N, Ste 208, Shelbyville, TN 37160 Phone: 931-685-5533 Fax: 931-685-5544 | |
Clement F Bernard, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 841 Union St, Suite 101, Shelbyville, TN 37160 Phone: 931-685-4886 Fax: 931-685-6997 | |
Dr. Chris M. Marasco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Airport Drive, Suite H, Shelbyville, TN 37160 Phone: 931-680-6360 Fax: 931-680-9909 | |
Dr. Ryan Michael Carr, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Frank Martin Rd Ste 102, Shelbyville, TN 37160 Phone: 931-680-0602 Fax: 931-680-0654 |