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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSHMITA THOTA MD
NPI 1003490426
Pediatrics in Poplar Bluff, MO

Active since May 11, 2021PECOS Enrolled
225 PHYSICIANS PARK STE 304, POPLAR BLUFF, MO 63901(573) 727-5500(573) 399-2646 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Jul 30, 2026, Oct 9, 2024 and 1 more (4 updates tracked since 2021).

About Sushmita Thota Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSHMITA THOTA MD (NPI 1003490426) is an individual pediatrics provider in Poplar Bluff, Missouri, licensed in Missouri (2024026869) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains 25 additional practice locations.

NPPES Registry Identity

NPI1003490426
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSUSHMITA THOTACredential: MD
Location Address225 PHYSICIANS PARK STE 304Poplar Bluff, MO 63901-3930
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Phone(573) 727-5500
Fax(573) 399-2646
Sole ProprietorNo
Enumeration DateMay 11, 2021
Last NPPES UpdateOctober 20, 20264 updates tracked since enumeration
NPPES CertifiedOctober 20, 2026
✔ NPI 1003490426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2024026869
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
225 PHYSICIANS PARK STE 304, Poplar Bluff, MO 63901
Open in Google Maps ↗

Secondary Practice Locations 25

Location 1225 Physicians Park Ste 200Poplar Bluff, MO 63901-3921 · Phone (573) 727-5500 ext. 5 · Fax (573) 313-3684
Location 2109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 3289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 418 Viburnum Center RdViburnum, MO 65566-7802 · Phone (573) 244-5406 · Fax (573) 244-5591
Location 5711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 6220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 761 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 8405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 92879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 712-1610 · Fax (573) 776-6124
Location 101300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 11202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101
Location 12109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 13109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 14315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 153277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 161 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 17225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609
Location 182300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 · Fax (573) 413-4506
Location 1917959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 20603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 2111001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 22225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013
Location 23101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 24109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150
Location 253001 Warrior Ln Ste APoplar Bluff, MO 63901-8685 · Phone (573) 785-7453 · Fax (573) 785-7429

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sushmita Thota Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sushmita Thota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Springs Medical Association
Same address
Physiological Laboratory
225 PHYSICIANS PARK STE 104
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 104 clinicians in this Medicare group
NPI 1265395537 (573) 413-4065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH ANN L'HEUREUX APRN, FNP-BC, DNP
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
MELINDA GAY TAYLOR-TUCKER LCSW
Social Worker (Clinical)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
CORINNE DURNER FNP-C
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
MRS. VIVIAN JEAN CRITES RN, FNP-BC
Nurse Practitioner (Family)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
CASEY WHEELER LPC
Counselor (Professional)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. AMBER WHEELER RICHARDSON PHD
Psychologist (Clinical)
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
BIG SPRINGS MEDICAL ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500
DR. JAMES W WILKERSON MD
Family Medicine
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 63901
Butler County (573) 727-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sushmita Thota's NPI number?

The NPI number for Sushmita Thota is 1003490426. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Sushmita Thota located?

Sushmita Thota practices at 225 Physicians Park Ste 304, Poplar Bluff, MO 63901. The listed phone number is (573) 727-5500.

What is Sushmita Thota's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sushmita Thota enrolled in Medicare?

Yes. Sushmita Thota is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sushmita Thota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sushmita Thota reassigns Medicare benefits to Big Springs Medical Association (Poplar Bluff, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sushmita Thota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sushmita Thota accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Sushmita Thota as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sushmita Thota was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.