DR. THEEPHA THAYALAKULASINGAM M.D.
NPI 1356533749
Internal Medicine - Pulmonary Disease in Hammond, LA

Active since August 09, 2007PECOS EnrolledAccepts Medicare Assignment
79.02/100
CMS Quality Rating
15813 PAUL VEGA MD DR STE 401A, HAMMOND, LA 70403(985) 230-1580(985) 230-1585 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2022, Jul 21, 2022, Jun 2, 2017 (3 updates tracked since 2017).

About Dr. Theepha Thayalakulasingam M.d. NPPES

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

DR. THEEPHA THAYALAKULASINGAM M.D. (NPI 1356533749) is an individual pulmonary disease provider in Hammond, Louisiana, licensed in Louisiana (203978) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1356533749
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. THEEPHA THAYALAKULASINGAMCredential: M.D.
Location Address15813 PAUL VEGA MD DR STE 401AHammond, LA 70403-1426
Mailing AddressPo Box 3087Hammond, LA 70404-3087 · (985) 230-1580 · Fax (985) 230-1585
Fax(985) 230-1585
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 9, 2007
Last NPPES UpdateDecember 30, 20223 updates tracked since enumeration
NPPES CertifiedDecember 30, 2022
NPI 1356533749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in LA · 203978
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 203978 (LA)
15813 PAUL VEGA MD DR STE 401A, Hammond, LA 70403

Other Identifiers 1

Medicaid1007366LA

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

Dr. Theepha Thayalakulasingam 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 ID2961623731
PECOS Enrollment IDI20141020001332
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 13

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.

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.
329 services181 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.
276 services130 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
199 services76 patients
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.
139 services78 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
86 services83 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
81 services78 patients

Hospital Affiliations CMS Care Compare 4

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

St Helena Parish Hospital

Critical Access Hospitals · Greensburg, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191300
Location16874 Highway 43Greensburg, LA 70441 · St. Helena County
Emergency services

Hood Memorial Hospital

Critical Access Hospitals · Amite, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191309
Location301 W Walnut StreetAmite, LA 70422 · Tangipahoa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70403 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.5
Promoting Interoperability100
Improvement Activities40
Cost42.93

Referred Medical Equipment & Supplies CMS DME claims 10

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers12 claims42 services$2.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers63 claims63 services$18.97 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers51 claims51 services$799.97 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
4 suppliers69 claims74 services$5.50 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers27 claims27 services$32.18 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 suppliers167 claims167 services$79.37 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 10

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

Nurse Practitioner (Adult Health)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Nurse Practitioner (Acute Care)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Nurse Practitioner (Acute Care)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Nurse Practitioner (Acute Care)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Nurse Practitioner (Family)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Internal Medicine (Pulmonary Disease)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Internal Medicine (Pulmonary Disease)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403
Internal Medicine (Pulmonary Disease)
15813 PAUL VEGA MD DR STE 401A
HAMMOND, LA 70403

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 Theepha Thayalakulasingam's NPI number?

The NPI number for Theepha Thayalakulasingam is 1356533749. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Theepha Thayalakulasingam located?

Theepha Thayalakulasingam practices at 15813 Paul Vega MD Dr Ste 401A, Hammond, LA 70403. The listed phone number is (985) 230-1580.

What is Theepha Thayalakulasingam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Theepha Thayalakulasingam enrolled in Medicare?

Yes. Theepha Thayalakulasingam 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 Theepha Thayalakulasingam accept?

Health plans from HMO Louisiana list Theepha Thayalakulasingam 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 Theepha Thayalakulasingam affiliated with any hospitals?

According to CMS data, Theepha Thayalakulasingam is affiliated with North Oaks Medical Center, Ochsner Medical Center - Baton Rouge, St Helena Parish Hospital and Hood Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theepha Thayalakulasingam was last updated on December 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.