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SARAH ANNE THEVATHERIL MD
NPI 1396208906
Pediatrics - Pediatric Emergency Medicine in Oklahoma City, OK

Active since April 10, 2019PECOS Enrolled
940 NE 13TH ST # 2300, OKLAHOMA CITY, OK 73104(405) 271-2429 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Apr 10, 2019 (2 updates tracked since 2019).

About Sarah Anne Thevatheril Md NPPES

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

SARAH ANNE THEVATHERIL MD (NPI 1396208906) is an individual pediatric emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (39657) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396208906
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameSARAH ANNE THEVATHERILCredential: MD
Location Address940 NE 13TH ST # 2300Oklahoma City, OK 73104-5008
Mailing Address940 Ne 13th St # 2300Oklahoma City, OK 73104-5008 · (405) 271-2429
Phone(405) 271-2429
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateMay 16, 20222 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1396208906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in OK · 39657
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 94-10019 (KS), 2019022811 (MO)
940 NE 13TH ST # 2300, Oklahoma City, OK 73104
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Secondary Practice Location 1

Location 12401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Anne Thevatheril Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274868427
PECOS Enrollment IDI20260302000007
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.

Other Providers at the Same Location NPPES 8

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

DR. DAVID J RHODES MD
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
YUANYUAN SUN M.D.
Student in an Organized Health Care Education/Training Program
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
KENDALL LUYT MD
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
DR. VAMSIKRISHNA POLAMREDDY KALIKI M.D.
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (501) 655-0685
SCOTT TREECE M.D.
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
DR. BROOKE DANIELLE CLOUD DO
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
MARY ASAL MD, MPH
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429
JACLYN C URQUIOLA SORZANO D.O.
Pediatrics (Pediatric Emergency Medicine)
940 NE 13TH ST # 2300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2429

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 Sarah Thevatheril's NPI number?

The NPI number for Sarah Thevatheril is 1396208906. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Sarah Thevatheril located?

Sarah Thevatheril practices at 940 NE 13th St # 2300, Oklahoma City, OK 73104. The listed phone number is (405) 271-2429.

What is Sarah Thevatheril's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Sarah Thevatheril enrolled in Medicare?

Yes. Sarah Thevatheril is registered in the Medicare PECOS enrollment system.

What insurance does Sarah Thevatheril accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Sarah Thevatheril 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 Sarah Thevatheril was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.