THAVAM C THAMBI-PILLAI MD
NPI 1487610465
Transplant Surgery in Sioux Falls, SD

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
77.99/100
CMS Quality Rating
1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105(605) 328-3840(605) 328-3841 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thavam C Thambi-pillai Md NPPES

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

THAVAM C THAMBI-PILLAI MD (NPI 1487610465) is an individual transplant surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (7886) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1487610465
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameTHAVAM C THAMBI-PILLAICredential: MD
Location Address1508 W 22ND ST STE 101Sioux Falls, SD 57105-1514
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-3840 · Fax (605) 328-3841
Fax(605) 328-3841
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateApril 26, 2006
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1487610465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in SD · 7886
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 35085448 (OH)
1508 W 22ND ST STE 101, Sioux Falls, SD 57105

Other Names 1

Other Name (5)Thavachenthan Thambipillai Md

Other Identifiers 1

Medicaid2636982OH

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

Thavam C Thambi-pillai Md 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 ID3779598164
PECOS Enrollment IDI20101207000349
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 8

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.

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.
40 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
27 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
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.
17 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Chamberlain Medical Center

Critical Access Hospitals · Chamberlain, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431329
Location300 S ByronChamberlain, SD 57325 · Brule County
Emergency services

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.

77.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.13
Promoting Interoperability99
Improvement Activities40
Cost47.35

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.

Physician Assistant
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner (Acute Care)
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Surgery
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Surgery
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Physician Assistant (Surgical)
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Nurse Practitioner
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105
Physician Assistant
1508 W 22ND ST STE 101
SIOUX FALLS, SD 57105

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 Thavam Thambi-pillai's NPI number?

The NPI number for Thavam Thambi-pillai is 1487610465. It was assigned to this individual provider in the NPPES registry on April 26, 2006. The provider is also known as Thavachenthan Thambipillai MD.

Where is Thavam Thambi-pillai located?

Thavam Thambi-pillai practices at 1508 W 22nd St Ste 101, Sioux Falls, SD 57105. The listed phone number is (605) 328-3840.

What is Thavam Thambi-pillai's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Thavam Thambi-pillai enrolled in Medicare?

Yes. Thavam Thambi-pillai 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 Thavam Thambi-pillai accept?

Health plans from Blue Cross Blue Shield of North Dakota, CareSource, Medica, Oscar Insurance Company and Sanford Health Plan and 1 other insurer list Thavam Thambi-pillai 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 Thavam Thambi-pillai affiliated with any hospitals?

According to CMS data, Thavam Thambi-pillai is affiliated with Prairie Lakes Healthcare System, Inc, Sanford Usd Medical Center and Sanford Chamberlain Medical Center.

When was this NPI record last updated?

The NPPES record for Thavam Thambi-pillai was last updated on April 16, 2024. 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.