ARUNACHALAM THENAPPAN MD
NPI 1275856445
Surgery - Pediatric Surgery in New Brunswick, NJ

NPI Status: Active since March 02, 2010

Contact Information

125 PATERSON ST
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 235-8351

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  • Individual
  • Male
  • Years of Experience 20
  • Surgery
  • Pediatric Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ARUNACHALAM THENAPPAN

This page provides the complete NPI Profile along with additional information for Arunachalam Thenappan, a provider established in New Brunswick, New Jersey with a medical specialization in Surgery, focusing in pediatric surgery and more than 20 years of experience. He graduated from State University Of New York At Buffalo School Of Medicine in 2006. The healthcare provider is registered in the NPI registry with number 1275856445 assigned on March 2010. The practitioner's primary taxonomy code is 2086S0120X with license number 25MA10943000 (NJ). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1275856445
Provider Name
ARUNACHALAM THENAPPAN MD
Gender
Male
Entity Type
Individual
Location Address
125 PATERSON ST NEW BRUNSWICK, NJ 08901
Location Phone
(732) 235-8351
Mailing Address
PO BOX 37215 BALTIMORE, MD 21297
Mailing Phone
(202) 476-5000
Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
03-02-2010
Last Update Date
10-16-2020
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Location Map

Secondary Locations

  • 111 Michigan Ave NW
    Washington, DC 20010
    (202) 476-5000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Pediatric Surgery

Taxonomy Code
2086S0120X
Type
Allopathic & Osteopathic Physicians
License No.
25MA10943000
License State
NJ
Taxonomy Description
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12086S0102XAllopathic & Osteopathic Physicians

Surgery
Surgical Critical Care

25MA10943000 (NJ)
22086S0102XAllopathic & Osteopathic Physicians

Surgery
Surgical Critical Care

MD039840 (DC)
32086S0120XAllopathic & Osteopathic Physicians

Surgery
Pediatric Surgery

MD039840 (DC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Arunachalam Thenappan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Arunachalam Thenappan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5294951802

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20201130001939

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for ARUNACHALAM THENAPPAN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275856445, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 6 + 5 + 1 + 2 + 4 + 8 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1275856445.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
125 PATERSON ST, CLINICAL ACADEMIC BUILDING RM 2117
NEW BRUNSWICK, NJ 08901
Specialist
125 PATERSON ST, SUITE 2100, 2ND FLOOR, KIDNEY TRANSPLANT
NEW BRUNSWICK, NJ 08901
Internal Medicine
125 PATERSON ST, ROOM 2330
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology (Maternal & Fetal Medicine)
125 PATERSON ST, DEPT. OF OB/GYN CAB 4200
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology
125 PATERSON ST, SUITE 4200
NEW BRUNSWICK, NJ 08901
Internal Medicine
125 PATERSON ST, SUITE 2304
NEW BRUNSWICK, NJ 08901
Internal Medicine (Nephrology)
125 PATERSON ST, SUITE 5100B
NEW BRUNSWICK, NJ 08901
Internal Medicine (Nephrology)
125 PATERSON ST, SUITE 5100B
NEW BRUNSWICK, NJ 08901
Internal Medicine (Nephrology)
125 PATERSON ST, SUITE 5100B
NEW BRUNSWICK, NJ 08901
Internal Medicine (Nephrology)
125 PATERSON ST, SUITE 5100B
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Family)
125 PATERSON ST
NEW BRUNSWICK, NJ 08901
Psychiatry & Neurology (Psychiatry)
125 PATERSON ST, SUITE 2200
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology
125 PATERSON ST, SUITE 4200
NEW BRUNSWICK, NJ 08901
Psychiatry & Neurology (Psychiatry)
125 PATERSON ST, SUITE 2200
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology
125 PATERSON ST, SUITE 4200
NEW BRUNSWICK, NJ 08901
Obstetrics & Gynecology
125 PATERSON ST, SUITE 4200
NEW BRUNSWICK, NJ 08901
Psychologist
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 2200
NEW BRUNSWICK, NJ 08901
Urology
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 4100
NEW BRUNSWICK, NJ 08901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 4100
NEW BRUNSWICK, NJ 08901
Surgery (Pediatric Surgery)
125 PATERSON ST, CLINICAL ACADEMIC BUILDING - SUITE 4100
NEW BRUNSWICK, NJ 08901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275856445, enumerated as an "individual" on March 02, 2010.

The provider is located at 125 PATERSON ST NEW BRUNSWICK, NJ 08901 and the phone number is (732) 235-8351.

Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to verify.