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

Q: 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.

Q: What is Sushmita Thota's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sushmita Thota was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.

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: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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

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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 26 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 UpdateAugust 31, 20264 updates tracked since enumeration

NPPES CertifiedAugust 31, 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

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Secondary Practice Locations 26

Location 12879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 712-1610 · Fax (573) 776-6124

Location 23001 Warrior Ln Ste APoplar Bluff, MO 63901-8685 · Phone (573) 785-7453 · Fax (573) 785-7429

Location 32210 Barron Rd Ste 120Poplar Bluff, MO 63901-1922 · Phone (573) 785-6536 · Fax (573) 785-0100

Location 4405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154

Location 5225 Physicians Park Ste 200Poplar Bluff, MO 63901-3921 · Phone (573) 727-5500 ext. 5 · Fax (573) 313-3684

Location 6101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789

Location 7225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013

Location 81300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194

Location 9202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101

Location 10109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216

Location 11315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546

Location 12109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245

Location 131 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911

Location 14109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246

Location 15109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150

Location 1661 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844

Location 17220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076

Location 18711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192

Location 1918 Viburnum Center RdViburnum, MO 65566-7802 · Phone (573) 244-5406 · Fax (573) 244-5591

Location 203277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536

Location 21225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609

Location 22289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493

Location 232300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 · Fax (573) 413-4506

Location 2417959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256

Location 25603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487

Location 2611001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 16

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)