VASANTHY THEVARAJAH (M.D) – Hospitalist Physician, NPI 1174883987

VASANTHY THEVARAJAH (M.D) is a healthcare provider. based in Presque isle, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 0435669163 (NY). The NPI Number for VASANTHY THEVARAJAH (M.D) is 1174883987

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
VASANTHY THEVARAJAH (M.D)
NPI
1174883987
Phone
(347) 675-1543
Address
136 ACADEMY ST
Enumeration Date
25 May 2012
Last Update Date
1 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609720549
Graduation Year
2010 (16 years ago)
PAC ID
7416272125
Group Practice PAC ID
3173866241
Professional Enrollment ID
I20190805002758
Address ID
CT061028000HA80XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:14State licenses:2Digital endpointsOther names

918 INTERNAL MEDICINE in ME

Provider Addresses for VASANTHY THEVARAJAH (M.D)

  • 136 ACADEMY ST

    PRESQUE ISLE, ME 047693102

    Phone: (347) 675-1543

    Type: Mailing

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone: (645) 228-6038

    Type: Mailing

  • 701 GROVE RD FL 5

    GREENVILLE, SC 296054210

    Phone: (864) 455-4411

    Fax: (864) 455-4480

    Type: Location

  • 136 Academy St

    Presque Isle, ME 047693102

    Phone: (347) 675-1543

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $173.

Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($139).

Total Amount

$173

General + Research + Ownership

Payments

2

Total payment records

General Amount

$173

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190805002758IInternal MedicineCTTBD
I20230510000570IInternal MedicineSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes253166$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes200105$0
99239Hospital discharge day management, more than 30 minutes123123$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3219$0
View full utilization report →

Insurance plans in this area (ZIP 04769)

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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: 3173866241View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Nurse PractitionerCT
-CT
-CT
-CT
Internal MedicineCT
Internal MedicineCT
Nurse PractitionerCT
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CT

Reviews

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Frequently asked questions

How do payers reference VASANTHY THEVARAJAH (M.D)?
For VASANTHY THEVARAJAH (M.D), use NPI 1174883987 as the unique 10-digit identifier.
Would VASANTHY THEVARAJAH (M.D) appear as active to a payer?
You can treat VASANTHY THEVARAJAH (M.D) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe VASANTHY THEVARAJAH (M.D)'s focus?
For VASANTHY THEVARAJAH (M.D), the primary taxonomy reads as Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is VASANTHY THEVARAJAH (M.D) located near Presque Isle?
VASANTHY THEVARAJAH (M.D) currently maps to Presque Isle, Maine in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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