MUNI K THEERTHAM MD
NPI 1114183449
Internal Medicine in Kokomo, IN

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902(765) 776-3020(765) 453-8111 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2020, Jun 28, 2017, Nov 15, 2016 and 1 more (4 updates tracked since 2016).

About Muni K Theertham Md NPPES

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

MUNI K THEERTHAM MD (NPI 1114183449) is an individual internal medicine provider in Kokomo, Indiana, licensed in Indiana (01069020A) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2005).

NPPES Registry Identity

NPI1114183449
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUNI K THEERTHAMCredential: MD
Location Address3500 S LAFOUNTAIN STKokomo, IN 46902-3803
Mailing Address6626 E 75th St, Ste 500Indianapolis, IN 46250-2805
Fax(765) 453-8111
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 6, 2008
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1114183449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 01069020A Licensed in MI · 4301091596
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3500 S LAFOUNTAIN ST, Kokomo, IN 46902

Other Identifiers 3

Other000000724294IN · Anthem
Other1114183449Rr Ptan
Medicaid201025960IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Muni K Theertham Md 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.

PECOS PAC ID648448605
PECOS Enrollment IDI20110718000388
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.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
548 services278 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
327 services299 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
228 services146 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
227 services208 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services27 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers84 claims85 services$16.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers101 claims102 services$95.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Family Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Nurse Practitioner
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Emergency Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Physician Assistant (Medical)
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Internal Medicine
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Anesthesiology
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902
Internal Medicine (Hematology & Oncology)
3500 S LAFOUNTAIN ST
KOKOMO, IN 46902

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 Muni Theertham's NPI number?

The NPI number for Muni Theertham is 1114183449. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is Muni Theertham located?

Muni Theertham practices at 3500 S Lafountain St, Kokomo, IN 46902. The listed phone number is (765) 776-3020.

What is Muni Theertham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Muni Theertham enrolled in Medicare?

Yes. Muni Theertham 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.

What insurance does Muni Theertham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Muni Theertham 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.

Is Muni Theertham affiliated with any hospitals?

According to CMS data, Muni Theertham is affiliated with Community Howard Regional Health Inc., Ascension St Vincent Kokomo, Marion General Hospital and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Muni Theertham was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.