MR. EBENEZER PREMKUMAR THANGAVELU NP
NPI 1780673228
Nurse Practitioner - Adult Health in Lindenhurst, NY

Q: What is Ebenezer Thangavelu's NPI number?

The NPI number for Ebenezer Thangavelu is 1780673228. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Ebenezer Thangavelu's specialty?

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

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

143 S 9TH ST, LINDENHURST, NY 11757(516) 983-5754 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Ebenezer Premkumar Thangavelu Np NPPES

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

MR. EBENEZER PREMKUMAR THANGAVELU NP (NPI 1780673228) is an individual adult health provider in Lindenhurst, New York, licensed in New York (F 302708-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780673228

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. EBENEZER PREMKUMAR THANGAVELUCredential: NP

Location Address143 S 9TH STLindenhurst, NY 11757-4523

Mailing Address143 South 9th StreetLindenhurst, NY 11757 · (631) 957-1859

Phone(516) 983-5754

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateOctober 18, 2005

Last NPPES UpdateMay 18, 2016

✔ NPI 1780673228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F 302708-1

143 S 9TH ST, Lindenhurst, NY 11757

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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

Mr. Ebenezer Premkumar Thangavelu 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 ID8921133596

PECOS Enrollment IDI20100322000254

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 7

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

2,575 services428 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

2,472 services425 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

365 services101 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

285 services276 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

219 services212 patients

Exam of neurobehavioral status, first hour 96116

An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.

218 services216 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330182

Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County

Emergency services

Plainview Hospital

Acute Care Hospitals · Plainview, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330331

Location888 Old Country RoadPlainview, NY 11803 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11757 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

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 Ebenezer Thangavelu's NPI number?

The NPI number for Ebenezer Thangavelu is 1780673228. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Ebenezer Thangavelu located?

Ebenezer Thangavelu practices at 143 S 9th St, Lindenhurst, NY 11757. The listed phone number is (516) 983-5754.

What is Ebenezer Thangavelu's specialty?

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

Is Ebenezer Thangavelu enrolled in Medicare?

Yes. Ebenezer Thangavelu 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.

Is Ebenezer Thangavelu affiliated with any hospitals?

According to CMS data, Ebenezer Thangavelu is affiliated with North Shore University Hospital, St Francis Hospital - The Heart Center and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Ebenezer Thangavelu was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.