DR. JYOTHI V THOTA (MD) – Obstetrics & Gynecology Physician, NPI 1205808102

DR. JYOTHI V THOTA (MD) is a healthcare provider. based in Melrose park, Illinois. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 125047019 (IL). The NPI Number for DR. JYOTHI V THOTA (MD) is 1205808102

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JYOTHI V THOTA (MD)
NPI
1205808102
Phone
(708) 681-7670
Address
675 W NORTH AVE
Enumeration Date
3 February 2006
Last Update Date
30 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7738788200
Graduation Year
1999 (27 years ago)
PAC ID
1153403365
Group Practice PAC ID
4486556016
Professional Enrollment ID
I20080128000221

Contacts

Secure Messaging
jthota277084@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. JYOTHI V THOTA (MD)

  • North Avenue, Melrose Park, Proviso Township, Cook County, Illinois, 60160, United States

    SUITE 101

    MELROSE PARK, IL 601601634

    Phone: (708) 681-7670

    Fax: (708) 681-7672

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-08-16 • Largest payer in this snapshot: Amgen Inc. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$32
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080128000221IObstetrics/GynecologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60160)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486556016View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JYOTHI V THOTA (MD)?
DR. JYOTHI V THOTA (MD) — NPI 1205808102 — is the standard way to identify this listing.
Can I rely on DR. JYOTHI V THOTA (MD) being an active provider?
As of the registry snapshot, DR. JYOTHI V THOTA (MD) is marked active.
What is DR. JYOTHI V THOTA (MD) best known for clinically?
Directory data describes DR. JYOTHI V THOTA (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JYOTHI V THOTA (MD)?
DR. JYOTHI V THOTA (MD)'s geographic hint is Melrose Park, Illinois in our summary view.
Why does DR. JYOTHI V THOTA (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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