| Thomas Job Mukkada, MD | |
|
312 E Alta Vista Ave, Ottumwa, IA 52501-1413 | |
| (641) 682-4115 | |
| (641) 682-0005 |
| Full Name | Thomas Job Mukkada |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 46 Years |
| Location | 312 E Alta Vista Ave, Ottumwa, Iowa |
| 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 |
|---|---|---|---|
| 1518961036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 28127 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Bloomfield Anesthetists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811091390 PECOS PAC ID: 1557529948 Enrollment ID: O20120214000539 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20240125004055 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Job Mukkada, MD 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 Ph: (641) 682-4115 | Thomas Job Mukkada, MD 312 E Alta Vista Ave, Ottumwa, IA 52501-1413 Ph: (641) 682-4115 |
Kuriakose Varkey Thekkaniyill, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 E Alta Vista Ave, Ottumwa, IA 52501 Phone: 641-682-4115 Fax: 641-682-0005 | |
Shashikant Chhabildas Sanghvi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 312 E Alta Vista Ave, Ottumwa, IA 52501 Phone: 641-682-4115 Fax: 641-682-0005 | |
Jennifer Lynne Cook, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501 Phone: 641-684-2300 |