JOMON JOHN THEKKETHOTTIYIL
NPI 1023376894
Social Worker - Clinical in St Petersburg, FL
About Jomon John Thekkethottiyil NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOMON JOHN THEKKETHOTTIYIL (NPI 1023376894) is an individual clinical provider in St Petersburg, Florida, licensed in Florida (SW10806) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jomon John Thekkethottiyil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jomon Thekkethottiyil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lakeland, FL 33813
- Reassigned Medicare billing, Florida enrollment
Lakeland, FL 33813
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jomon Thekkethottiyil's NPI number?
The NPI number for Jomon Thekkethottiyil is 1023376894. It was assigned to this individual provider in the NPPES registry on April 30, 2012.
Where is Jomon Thekkethottiyil located?
Jomon Thekkethottiyil practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.
What is Jomon Thekkethottiyil's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jomon Thekkethottiyil enrolled in Medicare?
Yes. Jomon Thekkethottiyil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jomon Thekkethottiyil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jomon Thekkethottiyil reassigns Medicare benefits to 2 organizations: Central Florida Psychotherapy Services LLC (Lakeland, FL) and Newlight Psychiatric Services Inc (Lakeland, FL). Each 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 Jomon Thekkethottiyil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jomon Thekkethottiyil accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Jomon Thekkethottiyil 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 Jomon Thekkethottiyil was last updated on June 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Jomon John Thekkethottiyil · NPI 1023376894
Clinical provider in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1023376894 (Entity type: Individual)
- **Enumerated:** April 30, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** SW10806 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4024 CENTRAL AVE, St Petersburg, FL 33711-1239
- **Phone:** (727) 327-7656
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Central Florida Psychotherapy Services LLC (NPI 1689286809, Lakeland, FL); Newlight Psychiatric Services Inc (NPI 1477058691, Lakeland, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** June 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1023376894) · Data from the CMS NPPES public registry.