DR. THANUSHIYA JEYAKANTHAN M.D.
NPI 1912574633
Student in an Organized Health Care Education/Training Program in Norwalk, CT

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment
34 MAPLE ST, NORWALK, CT 06850(203) 852-2025(203) 899-5224 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 21, 2026, Sep 17, 2025, Jun 10, 2021 (3 updates tracked since 2021).

About Dr. Thanushiya Jeyakanthan M.d. NPPES

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

DR. THANUSHIYA JEYAKANTHAN M.D. (NPI 1912574633) is an individual student in an organized health care education/training program in Norwalk, Connecticut and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912574633
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. THANUSHIYA JEYAKANTHANCredential: M.D.
Location Address34 MAPLE STNorwalk, CT 06850-3815
Mailing Address34 Maple StNorwalk, CT 06850-3815 · (203) 852-2025 · Fax (203) 899-5224
Fax(203) 899-5224
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 10, 2021
Last NPPES UpdateOctober 26, 20213 updates tracked since enumeration
NPPES CertifiedOctober 26, 2021
✔ NPI 1912574633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
34 MAPLE ST, Norwalk, CT 06850

Secondary Practice Locations 3

Location 1725 N US Highway 1Fort Pierce, FL 34950-9125 · Phone (772) 468-9900 · Fax (772) 468-2364
Location 21255 37th St Ste CVero Beach, FL 32960-6550 · Phone (772) 494-1770 · Fax (772) 494-1774
Location 3840 37th Pl Ste BVero Beach, FL 32960-6502 · Phone (877) 345-9342 · Fax (772) 925-8199

Accepted Insurance

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. Thanushiya Jeyakanthan M.d. 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 ID9133616808
PECOS Enrollment IDI20251015004355
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 Thanushiya Jeyakanthan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
840 37TH PL STE B
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 39 clinicians in this Medicare group

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

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 (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Physician Assistant
34 MAPLE ST
NORWALK, CT 06850

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 Thanushiya Jeyakanthan's NPI number?

The NPI number for Thanushiya Jeyakanthan is 1912574633. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Thanushiya Jeyakanthan located?

Thanushiya Jeyakanthan practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (203) 852-2025.

What is Thanushiya Jeyakanthan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Thanushiya Jeyakanthan enrolled in Medicare?

Yes. Thanushiya Jeyakanthan 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.

Which organization bills Medicare for Thanushiya Jeyakanthan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thanushiya Jeyakanthan reassigns Medicare benefits to Whole Family Health Center, Inc. (Vero Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thanushiya Jeyakanthan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thanushiya Jeyakanthan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Thanushiya Jeyakanthan 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.

When was this NPI record last updated?

The NPPES record for Thanushiya Jeyakanthan was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.