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THARA DAMODARAN MD LLC
NPI 1023237864
Internal Medicine - Infectious Disease in Oklahoma City, OK

Active since April 24, 2007
1925 NW 142ND ST, OKLAHOMA CITY, OK 73134(405) 706-3117(877) 349-5185 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Thara Damodaran Md Llc NPPES

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

THARA DAMODARAN MD LLC (NPI 1023237864) is a healthcare organization registered as an infectious disease in Oklahoma City, Oklahoma and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Mesa and lists Thara R Damodaran, Owner, as its authorized official.

NPPES Registry Identity

NPI1023237864
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameTHARA DAMODARAN MD LLC
Location Address1925 NW 142ND STOklahoma City, OK 73134-6193
Mailing AddressPo Box 20490Mesa, AZ 85277-0490 · (480) 985-1093 · Fax (480) 296-7665
Phone(405) 706-3117
Fax(877) 349-5185
Organization SubpartNo
Authorized OfficialThara R DamodaranOwner · (480) 720-8744
Enumeration DateApril 24, 2007
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
✔ NPI 1023237864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in AZ · 35774
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1925 NW 142ND ST, Oklahoma City, OK 73134
Open in Google Maps ↗

Secondary Practice Location 1

Location 1515 N Mesa DrMesa, AZ 85201-5914 · Phone (480) 720-8744 · Fax (480) 656-9802

Other Identifiers 1

OtherL13560915AZ · Organization Registration

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thara Damodaran Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thara Damodaran MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thara Damodaran, M.D.
Infectious Disease
NPI 1265455604
1925 NW 142ND ST
Oklahoma City, OK 73134
(405) 706-3117
✔ PECOS✔ Accepts MedicareSame address

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

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 Thara Damodaran MD LLC's NPI number?

The NPI number for Thara Damodaran MD LLC is 1023237864. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Thara Damodaran MD LLC located?

Thara Damodaran MD LLC is located at 1925 NW 142nd St, Oklahoma City, OK 73134. The listed phone number is (405) 706-3117.

What is Thara Damodaran MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Thara Damodaran MD LLC enrolled in Medicare?

Yes. Thara Damodaran MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thara Damodaran MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Thara Damodaran MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Thara Damodaran MD LLC was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.