DR. AMINIDHAN D THAKKAR (MD) – Emergency Medicine Physician, NPI 1629058169

DR. AMINIDHAN D THAKKAR (MD) is a healthcare provider. based in Roanoke, Texas. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. K8519 (TX). The NPI Number for DR. AMINIDHAN D THAKKAR (MD) is 1629058169

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMINIDHAN D THAKKAR (MD)
NPI
1629058169
Phone
(682) 831-1591
Address
1212 N HIGHWAY 377 STE 119
Enumeration Date
19 January 2006
Last Update Date
10 June 2013

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
6828311591
Graduation Year
1995 (31 years ago)
PAC ID
6103955992
Group Practice PAC ID
3577701085
Professional Enrollment ID
I20100604000235
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. AMINIDHAN D THAKKAR (MD)

  • 1212 N HIGHWAY 377 STE 119

    ROANOKE, TX 762626916

    Phone: (682) 831-1591

    Fax: (682) 831-1598

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-04

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
I20100604000235IEmergency MedicineTXTBD

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
99284Emergency department visit with moderate level of medical decision making3736$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1915$0
99285Emergency department visit with high level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 76262)

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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: 3577701085View full group profile
NameSpecialtyState
Internal MedicineTX
Physician AssistantTX

Reviews

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Frequently asked questions

Does DR. AMINIDHAN D THAKKAR (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. AMINIDHAN D THAKKAR (MD) uses 1629058169.
Can I rely on DR. AMINIDHAN D THAKKAR (MD) being an active provider?
As of the registry snapshot, DR. AMINIDHAN D THAKKAR (MD) is marked active.
What is DR. AMINIDHAN D THAKKAR (MD)'s specialty?
The listing groups DR. AMINIDHAN D THAKKAR (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. AMINIDHAN D THAKKAR (MD) serve?
DR. AMINIDHAN D THAKKAR (MD)'s listing highlights Roanoke, Texas; more addresses can appear in NPPES.
Is the information about DR. AMINIDHAN D THAKKAR (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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