DR. RENJITHKUMAR KALIKKOT THEKKEVEEDU MD
NPI 1851659353
Pediatrics - Neonatal-Perinatal Medicine in Jackson, MS

Q: What is Renjithkumar Kalikkot Thekkeveedu's NPI number?

The NPI number for Renjithkumar Kalikkot Thekkeveedu is 1851659353. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Q: What is Renjithkumar Kalikkot Thekkeveedu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since May 03, 2012PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5262 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Jun 22, 2016, Dec 1, 2015 (3 updates tracked since 2015).

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About Dr. Renjithkumar Kalikkot Thekkeveedu Md NPPES

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

DR. RENJITHKUMAR KALIKKOT THEKKEVEEDU MD (NPI 1851659353) is an individual neonatal-perinatal medicine provider in Jackson, Mississippi, licensed in Mississippi (24321) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Newburgh.

NPPES Registry Identity

NPI1851659353

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. RENJITHKUMAR KALIKKOT THEKKEVEEDUCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5262

Phone(601) 984-5262

Sole ProprietorYes

Enumeration DateMay 3, 2012

Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2023

✔ NPI 1851659353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in MS · 24321✔ Licensed in IN · 01089483A

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2500 N STATE ST, Jackson, MS 39216

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Secondary Practice Location 1

Location 14199 Gateway BlvdNewburgh, IN 47630-8940 · Phone (812) 842-4200

Other Identifiers 1

Medicaid07800040MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Dr. Renjithkumar Kalikkot Thekkeveedu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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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.

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