SMITHA MARY THOTAM NP
NPI 1629262639
Nurse Practitioner - Adult Health in Bay Shore, NY

Active since September 03, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
280 E MAIN ST, BAY SHORE, NY 11706(631) 666-3939(631) 666-1860 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Smitha Mary Thotam Np NPPES

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

SMITHA MARY THOTAM NP (NPI 1629262639) is an individual adult health provider in Bay Shore, New York, licensed in New York (F305772) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1629262639
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSMITHA MARY THOTAMCredential: NP
Location Address280 E MAIN STBay Shore, NY 11706-8403
Mailing Address280 E Main St, P. O. Box 9182Bay Shore, NY 11706-8403 · (631) 666-3939 · Fax (631) 666-1860
Fax(631) 666-1860
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 3, 2007
Last NPPES UpdateAugust 4, 2011
NPI 1629262639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · F305772
Also ListedRegistered NurseTaxonomy 163W00000X · License 506599 (NY)
280 E MAIN ST, Bay Shore, NY 11706

Other Identifiers 1

Medicaid02877329NY

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

Smitha Mary Thotam Np 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 ID3173790730
PECOS Enrollment IDI20120123000246
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 3

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.
70 services62 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
12 services12 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11706 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 7

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

Physician Assistant
280 E MAIN ST
BAY SHORE, NY 11706
Acupuncturist
280 E MAIN ST
BAY SHORE, NY 11706
Internal Medicine (Cardiovascular Disease)
280 E MAIN ST
BAY SHORE, NY 11706
Physician Assistant
280 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner (Adult Health)
280 E MAIN ST
BAY SHORE, NY 11706
Internal Medicine (Interventional Cardiology)
280 E MAIN ST
BAY SHORE, NY 11706
Nurse Practitioner
280 E MAIN ST
BAY SHORE, NY 11706

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 Smitha Thotam's NPI number?

The NPI number for Smitha Thotam is 1629262639. It was assigned to this individual provider in the NPPES registry on September 3, 2007.

Where is Smitha Thotam located?

Smitha Thotam practices at 280 E Main St, Bay Shore, NY 11706. The listed phone number is (631) 666-3939.

What is Smitha Thotam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Smitha Thotam enrolled in Medicare?

Yes. Smitha Thotam 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.

When was this NPI record last updated?

The NPPES record for Smitha Thotam was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.