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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
2879 JAMES BLVD, POPLAR BLUFF, MO 63901(573) 712-1610(573) 776-6124 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Oct 9, 2024, May 11, 2021 (3 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 Address2879 JAMES BLVDPoplar Bluff, MO 63901-3395
Mailing Address110 S 2nd StEllington, MO 63638-9400 · (573) 663-2313 · Fax (573) 663-2441
Phone(573) 712-1610
Fax(573) 776-6124
Sole ProprietorNo
Enumeration DateMay 11, 2021
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 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.
2879 JAMES BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Secondary Practice Locations 25

Location 1109 Plum St Ste BDoniphan, MO 63935-1225 · Phone (573) 351-0220 · Fax (573) 996-2246
Location 2711 Nickey StPoplar Bluff, MO 63901-6544 · Phone (573) 785-7047 ext. 13040 · Fax (573) 413-4192
Location 3220 East Broad StreetNaylor, MO 63953 · Phone (573) 399-2311 · Fax (573) 399-2076
Location 411001 US-160Harviell, MO 63945 · Phone (573) 804-9561 · Fax (573) 804-9581
Location 5603 E Summit StDoniphan, MO 63935-1142 · Phone (573) 996-3667 ext. 1117 · Fax (573) 413-4487
Location 617959 Main StEminence, MO 65466-6375 · Phone (573) 226-5505 · Fax (573) 226-1256
Location 7225 Physicians Park Ste 102Poplar Bluff, MO 63901-3918 · Phone (573) 727-5500 ext. 2 · Fax (573) 413-4609
Location 83277 US Highway 160 WDoniphan, MO 63935-5710 · Phone (573) 804-9527 · Fax (573) 804-9536
Location 9225 Physicians Park Ste 200Poplar Bluff, MO 63901-3921 · Phone (573) 727-5500 ext. 5 · Fax (573) 313-3684
Location 102210 Barron Rd Ste 120Poplar Bluff, MO 63901-1922 · Phone (573) 785-6536 · Fax (573) 785-0100
Location 11405 Main StreetVan Buren, MO 63965 · Phone (573) 323-4253 · Fax (573) 323-0154
Location 121 Hals Plz Ste APiedmont, MO 63957-1631 · Phone (573) 223-4800 · Fax (573) 223-7911
Location 13315 W Mulberry Ste APilot Knob, MO 63663-7883 · Phone (573) 546-0602 · Fax (573) 546-0546
Location 1461 Highway YEllington, MO 63638-7802 · Phone (573) 663-2525 · Fax (573) 663-7844
Location 15109 Plum St Ste ADoniphan, MO 63935-1225 · Phone (573) 351-0150 · Fax (573) 996-2245
Location 16109 LeRoux StDoniphan, MO 63935-1038 · Phone (573) 996-2136 · Fax (573) 996-5216
Location 17202 Allen StAnnapolis, MO 63620-8778 · Phone (573) 598-4213 · Fax (573) 598-1101
Location 181300 Victory LnPoplar Bluff, MO 63901-3300 · Phone (573) 785-5566 ext. 17097 · Fax (573) 413-4194
Location 192300 Baugh LnPoplar Bluff, MO 63901-2402 · Phone (573) 785-3037 · Fax (573) 413-4506
Location 20289 Broadway StNeelyville, MO 63954-7176 · Phone (573) 804-9494 · Fax (573) 804-9493
Location 212879 James BlvdPoplar Bluff, MO 63901-3395 · Phone (573) 609-8800 · Fax (573) 776-6124
Location 22109 Plum St Ste CDoniphan, MO 63935-1225 · Phone (573) 351-0150
Location 23101 E Batten StreetNaylor, MO 63953 · Phone (573) 804-1779 · Fax (573) 804-1789
Location 242210 Barron Rd Ste 222Poplar Bluff, MO 63901-1906 · Phone (573) 351-0138 · Fax (573) 609-8713
Location 25225 Physicians Park Ste 104Poplar Bluff, MO 63901-3918 · Phone (573) 413-4065 · Fax (573) 354-5013

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 6

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

BIG SPRINGS MEDICAL ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 609-8800
BIG SPRINGS MEDICAL ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 609-8800
JODY BETH SPAIN APRN, FNP-BC
Nurse Practitioner (Family)
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 609-8800
MRS. BECKY ANN WATSON MD
Obstetrics & Gynecology
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 609-8800
MRS. AMANDA GRASER MSN, APRN, CNM
Advanced Practice Midwife
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 609-8800
BIJAN BASTANINEJAD M.D.
Pediatrics
2879 JAMES BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 712-1610

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 2879 James Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 712-1610.

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.

What insurance does Sushmita Thota accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan 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 July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.