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SUSRUTHA THANAM M.D.
NPI 1174822415
Psychiatry & Neurology - Psychiatry in Austin, TX

Active since March 25, 2011PECOS EnrolledAccepts Medicare Assignment
4110 GUADALUPE ST, AUSTIN STATE HOSPITAL, AUSTIN, TX 78751(512) 419-2148(512) 419-2163 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Aug 29, 2016, Jan 3, 2016 (3 updates tracked since 2016).

About Susrutha Thanam M.d. NPPES

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

SUSRUTHA THANAM M.D. (NPI 1174822415) is an individual psychiatry provider in Austin, Texas, licensed in Texas (Q2860) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denton, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1174822415
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUSRUTHA THANAMCredential: M.D.
Location Address4110 GUADALUPE ST, AUSTIN STATE HOSPITALAustin, TX 78751-4223
Mailing Address4110 Guadalupe St, Austin State HospitalAustin, TX 78751-4223 · (512) 419-2148 · Fax (512) 419-2163
Phone(512) 419-2148
Fax(512) 419-2163
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 25, 2011
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1174822415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · Q2860
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4110 GUADALUPE ST, Austin, TX 78751
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Secondary Practice Location 1

Location 12519 Scripture StDenton, TX 76201-2324 · Phone (940) 381-5000 · Fax (940) 566-9072

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.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

Susrutha Thanam M.d. 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 ID2668761628
PECOS Enrollment IDI20160513000955
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 78751 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
$174.00 typical visit price
range $57.88 – $174.00
Typical copayment $43.50 (range $14.47 – $43.50)
Most-billed visit code 99205
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
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 20

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

HEALTH AND HUMAN SERVICES COMMISSION
Clinical Neuropsychologist
4110 GUADALUPE ST
AUSTIN, TX 78751
Travis County (512) 419-2843
DR. HELEN CHILDS
Psychologist
4110 GUADALUPE ST
AUSTIN, TX 78751
Travis County (512) 452-0381
RITA ANIEKWU APRN, PMHNP, BSN, RN
Nurse Practitioner (Psychiatric/Mental Health)
4110 GUADALUPE ST
AUSTIN, TX 78751
Travis County (512) 888-6782
DR. ROBERT PRICE
Psychologist (Clinical)
4110 GUADALUPE ST, BLDG. #781, RM. #305
AUSTIN, TX 78751
Travis County (512) 452-0381
DR. RHONDA L. ANDERSON M.D.
Psychiatry & Neurology (Psychiatry)
4110 GUADALUPE ST, ATTN: REIMBURSEMENT DEPT.
AUSTIN, TX 78751
Travis County (512) 419-2731
DR. WILLIAM MEBANE MD
Obstetrics & Gynecology
4110 GUADALUPE ST, ATTN: REIMBURSEMENT DEPT.
AUSTIN, TX 78751
Travis County (512) 419-2731
DR. LYNDSAY BROOKS PSYD
Psychologist (Clinical)
4110 GUADALUPE ST
AUSTIN, TX 78751
Travis County (512) 452-0381
DR. RANIA SAMIR KATTURA PHARM.D., MS; BCPP
Pharmacist (Psychiatric)
4110 GUADALUPE ST, DEPT OF PHARMACY
AUSITN, TX 78751
Travis County (512) 419-2700

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 Susrutha Thanam's NPI number?

The NPI number for Susrutha Thanam is 1174822415. It was assigned to this individual provider in the NPPES registry on March 25, 2011.

Where is Susrutha Thanam located?

Susrutha Thanam practices at 4110 Guadalupe St Austin State Hospital, Austin, TX 78751. The listed phone number is (512) 419-2148.

What is Susrutha Thanam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Susrutha Thanam enrolled in Medicare?

Yes. Susrutha Thanam 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 Susrutha Thanam accept?

Health plans from WellPoint list Susrutha Thanam 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 Susrutha Thanam was last updated on October 10, 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.