DR. NIMSHAVATHANI THAVER (D.O.) – Family Medicine Physician, NPI 1053413682

Family Medicine Physician

DR. NIMSHAVATHANI THAVER (D.O.) is a healthcare provider. based in Springfield, Pennsylvania. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS015380 (PA). The NPI Number for DR. NIMSHAVATHANI THAVER (D.O.) is 1053413682

Main info

Female

27 Years Of Experience

Accepts Medicare Assignment

Name

DR. NIMSHAVATHANI THAVER (D.O.)

NPI

1053413682

Phone

(610) 690-4490

Address

1260 E WOODLAND AVE

Enumeration Date

3 September 2006

Last Update Date

8 June 2015

Doctor Profile

Medical School Name

MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED

Secondary Phone

2155375096

Graduation Year

1999 (27 years ago)

PAC ID

2668465212

Group Practice PAC ID

3577467018

Professional Enrollment ID

I20110824000619

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NIMSHAVATHANI THAVER (D.O.)

1260, East Woodland Avenue, Springfield, Springfield Township, Delaware County, Pennsylvania, 19064, United States
SUITE 200
SPRINGFIELD, PA 190643969
Phone: (610) 690-4490
Fax: (610) 328-9391
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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 19064)

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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: 3577467018View full group profile

Name	Specialty	State
PETER PUTHENVEETIL (M.D.)	-	PA
WILLIAM L. KLIEFOTH (M.D.)	General Surgery	PA
DEBORAH SCHILLER SCHRAGER (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	PA
MOHAMMAD M SARHAN (MD)	-	PA
JONATHAN M. COX (M.D.)	-	PA
JOHN P. SORRENTINO (M.D.)	-	PA
MIHAELA BISCOVEANU (MD)	E N D O C R I N O L O G Y	PA
DR. MATTHEW RYAN BIERY (DO)	Emergency Medicine	PA
ANDREW CRAIG MARGULES	U R O L O G Y	SC
MITUL AFINIWALA (M.D.)	Cardiovascular Disease (Cardiology)	PA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NIMSHAVATHANI THAVER (D.O.)?

DR. NIMSHAVATHANI THAVER (D.O.) — NPI 1053413682 — is the standard way to identify this listing.

Can I rely on DR. NIMSHAVATHANI THAVER (D.O.) being an active provider?

As of the registry snapshot, DR. NIMSHAVATHANI THAVER (D.O.) is marked active.

What taxonomy line describes DR. NIMSHAVATHANI THAVER (D.O.)?

For research purposes, treat DR. NIMSHAVATHANI THAVER (D.O.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Does DR. NIMSHAVATHANI THAVER (D.O.) list a practice location?

Patients near Springfield, Pennsylvania may find DR. NIMSHAVATHANI THAVER (D.O.) in results; validate coverage separately.

How many locations tie to this NPI?

2 practice locations appear in the available data.