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NITHIN THUMMALA M.D.
NPI 1194954867
Radiology - Diagnostic Radiology in Detroit, MI

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST RM 3L-8, DETROIT, MI 48201(313) 745-3430 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nithin Thummala M.d. NPPES

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

NITHIN THUMMALA M.D. (NPI 1194954867) is an individual diagnostic radiology provider in Detroit, Michigan, licensed in Michigan (4301094794) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Wayne State University School Of Medicine (2009).

NPPES Registry Identity

NPI1194954867
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNITHIN THUMMALACredential: M.D.
Location Address4201 SAINT ANTOINE ST RM 3L-8Detroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Rm 3l-8Detroit, MI 48201-2153 · (313) 745-3430
Phone(313) 745-3430
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2009
Enumeration DateJuly 2, 2009
Last NPPES UpdateJuly 8, 2010
✔ NPI 1194954867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301094794
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4201 SAINT ANTOINE ST RM 3L-8, Detroit, MI 48201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Nithin Thummala 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 ID3577875202
PECOS Enrollment IDI20150708002560
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nithin Thummala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barbara Ann Karmanos Cancer Institute
0.5 mi
Radiology, Mammography
4100 JOHN R ROAD
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 128 clinicians in this Medicare group
NPI 1225022288 (800) 527-6266
Mclaren Medical Group
51 mi
Diagnostic Radiology
1254 N MAIN ST
Lapeer, MI 48446
  • Reassigned Medicare billing, Michigan enrollment
  • 416 clinicians in this Medicare group
NPI 1073650750 (810) 664-4531

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 11

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.

Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
75 services69 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
66 services59 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
65 services60 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
34 services34 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
29 services27 patients
Ct scan of chest with contrast 71260
A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.
28 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Nithin Thummala's NPI number?

The NPI number for Nithin Thummala is 1194954867. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Nithin Thummala located?

Nithin Thummala practices at 4201 Saint Antoine St Rm 3l-8, Detroit, MI 48201. The listed phone number is (313) 745-3430.

What is Nithin Thummala's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nithin Thummala enrolled in Medicare?

Yes. Nithin Thummala 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 Nithin Thummala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nithin Thummala reassigns Medicare benefits to 2 organizations: Barbara Ann Karmanos Cancer Institute (Detroit, MI) and Mclaren Medical Group (Lapeer, MI). 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 Nithin Thummala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nithin Thummala accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nithin Thummala 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 Nithin Thummala affiliated with any hospitals?

According to CMS data, Nithin Thummala is affiliated with Mclaren Bay Region, Mclaren Central Michigan, Mclaren Northern Michigan and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Nithin Thummala was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.