DR. JEREMIAH THYAGARAJ MD
NPI 1689379844
Internal Medicine in South Richmond Hill, NY

Q: What is Jeremiah Thyagaraj's NPI number?

The NPI number for Jeremiah Thyagaraj is 1689379844. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Jeremiah Thyagaraj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 04, 2023PECOS EnrolledAccepts Medicare Assignment

12506 101ST AVE, SOUTH RICHMOND HILL, NY 11419(718) 849-2900(718) 803-5168 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Apr 4, 2023 (2 updates tracked since 2023).

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About Dr. Jeremiah Thyagaraj Md NPPES

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

DR. JEREMIAH THYAGARAJ MD (NPI 1689379844) is an individual internal medicine provider in South Richmond Hill, New York, licensed in New York (346384) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of City University Of New York School Of Medicine (2023).

NPPES Registry Identity

NPI1689379844

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. JEREMIAH THYAGARAJCredential: MD

Location Address12506 101ST AVESouth Richmond Hill, NY 11419-1412

Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 849-2900

Fax(718) 803-5168

Sole ProprietorNo

Medical School CMSCity University Of New York School Of MedicineGraduated 2023

Enumeration DateApril 4, 2023

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1689379844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 346384

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12506 101ST AVE, South Richmond Hill, NY 11419

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremiah Thyagaraj 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 ID446718910

PECOS Enrollment IDI20260814002356

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.

Medicare Billing Reassignment

Medicare enrollment records show Jeremiah Thyagaraj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

9.3 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11419 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Other Providers at the Same Location NPPES 15

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

KAREN WOODBURN-HOURIE MD

Pediatrics