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SURESH THOTA MD
NPI 1962480368
Internal Medicine in Martin, TN

Active since January 05, 2006PECOS Enrolled
87.09/100
CMS Quality Rating
143 KENNEDY DR, MARTIN, TN 38237(731) 587-5321(731) 587-2145 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2022, Nov 24, 2015 (2 updates tracked since 2015).

About Suresh Thota Md NPPES

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

SURESH THOTA MD (NPI 1962480368) is an individual internal medicine provider in Martin, Tennessee, licensed in Tennessee (39395) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1962480368
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSURESH THOTACredential: MD
Location Address143 KENNEDY DRMartin, TN 38237-3309
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829 · (615) 465-7000
Phone(731) 587-5321
Fax(731) 587-2145
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1962480368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 39395
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 39395 (TN)
143 KENNEDY DR, Martin, TN 38237
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 W Church StLexington, TN 38351-2038 · Phone (731) 968-3646

Other Identifiers 4

Other4107565TN · Bcbs
Other000000169937TN · Unison
Medicaid3332991TN
Other7652703TN · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suresh Thota 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.

Medicare Billing Reassignments

6

Medicare enrollment records show Suresh Thota reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eagle Creek Emergency Group, PC
31 mi
Emergency Medicine
301 TYSON AVE
Paris, TN 38242
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1134627557 (731) 642-1220
Lexington Hospital Corporation
54 mi
Emergency Medicine
200 W CHURCH ST
Lexington, TN 38351
  • Reassigned Medicare billing, Tennessee enrollment
  • 49 clinicians in this Medicare group
NPI 1407290893 (731) 968-4477
Hospital Medicine Services Of Tennessee PC
290 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
Emergency Coverage, LLC
319 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Tennessee enrollment
  • 664 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Southeastern Emergency Physicians LLC
320 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Apogee Medical Group Tennessee PC
1,318 mi
General Practice
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 clinicians in this Medicare group
NPI 1578717682 (972) 269-1907

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

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
403 services376 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
234 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
209 services192 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
137 services132 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
26 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38237 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.17
Improvement Activities40
Cost65.22

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
100%48 patients
Emergency Medicine: Emergency Department Utilization of CT for Minor Blunt Head Trauma for Patients Aged 18 Years and Older
100%22 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

ASHRAF YAHYA ALQAQA MD
Internal Medicine (Cardiovascular Disease)
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
MARTIN HOSPITAL COMPANY LLC
Family Medicine
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
HUNTER J CROUSE DO
Family Medicine
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 578-5321
KEITH THOMPSON MD
Surgery
143 KENNEDY DR, SUITE A
MARTIN, TN 38237
Weakley County (731) 587-5321
DR. EGBERT REBEIRO M.D.
Surgery
143 KENNEDY DR, SUITE B
MARTIN, TN 38237
Weakley County (731) 587-3030
MADISON SHUMAKE CNM, WHNP-BC
Advanced Practice Midwife
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 514-8799
REBECCA N JOHNSON CNMW
Advanced Practice Midwife
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
MORGAN S STONE
Nurse Practitioner (Family)
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321

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 Suresh Thota's NPI number?

The NPI number for Suresh Thota is 1962480368. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Suresh Thota located?

Suresh Thota practices at 143 Kennedy Dr, Martin, TN 38237. The listed phone number is (731) 587-5321.

What is Suresh Thota's specialty?

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

Is Suresh Thota enrolled in Medicare?

Yes. Suresh Thota is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suresh Thota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suresh Thota reassigns Medicare benefits to 6 organizations: Eagle Creek Emergency Group, PC (Paris, TN), Lexington Hospital Corporation (Lexington, TN), Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), Emergency Coverage, LLC (Newport, TN), Southeastern Emergency Physicians LLC (Maysville, KY) and 1 more organization, listed in the Medicare section above. Each 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 Suresh Thota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suresh Thota accept?

Health plans from Oscar Health, Oscar Health Plan, Inc. and Oscar Insurance Company list Suresh Thota 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 Suresh Thota was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.