THURITHABHANI UDATHARI WHITAKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962975664

THURITHABHANI UDATHARI WHITAKER (CRNA) is a healthcare provider. based in Knoxville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. C003266 (AR). The NPI Number for THURITHABHANI UDATHARI WHITAKER (CRNA) is 1962975664

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
THURITHABHANI UDATHARI WHITAKER (CRNA)
NPI
1962975664
Phone
(479) 212-1538
Address
1505 MEETING HOUSE RD
Enumeration Date
4 January 2019
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
8592786031
Graduation Year
2018 (8 years ago)
PAC ID
3678811718
Group Practice PAC ID
3173779188
Professional Enrollment ID
I20210604001569
Address ID
KY405033385LE2620XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:7State licenses:3Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

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Provider Addresses for THURITHABHANI UDATHARI WHITAKER (CRNA)

  • 1505 MEETING HOUSE RD

    KNOXVILLE, TN 379314428

    Phone: (479) 212-1538

    Type: Mailing

  • Sparks Regional Medical Center, 1001, Towson Avenue, Mill Creek, Fort Smith, Sebastian County, Arkansas, 72903, United States

    FORT SMITH, AR 729014921

    Phone: (479) 441-4100

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-04

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
I20210604001569ICertified Registered Nurse Anesthetist (Crna)KYTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2321$0
00812Anesthesia for exam of colon using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 37931)

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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: 3173779188View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

How do payers reference THURITHABHANI UDATHARI WHITAKER (CRNA)?
For THURITHABHANI UDATHARI WHITAKER (CRNA), use NPI 1962975664 as the unique 10-digit identifier.
Is THURITHABHANI UDATHARI WHITAKER (CRNA) shown as active in public data?
Registry records indicate THURITHABHANI UDATHARI WHITAKER (CRNA) maintains an active NPI.
What kind of doctor is THURITHABHANI UDATHARI WHITAKER (CRNA)?
THURITHABHANI UDATHARI WHITAKER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is THURITHABHANI UDATHARI WHITAKER (CRNA) located near Knoxville?
THURITHABHANI UDATHARI WHITAKER (CRNA) currently maps to Knoxville, Tennessee in this extract.
Can I trust this NPI listing for THURITHABHANI UDATHARI WHITAKER (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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