ATUL THAKKER (M.D.) – Surgery Physician, NPI 1881652139

ATUL THAKKER (M.D.) is a healthcare provider. based in Centralia, Washington. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD00035008 (WA). The NPI Number for ATUL THAKKER (M.D.) is 1881652139

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
ATUL THAKKER (M.D.)
NPI
1881652139
Phone
(360) 736-1195
Address
1720 COOKS HILL RD
Enumeration Date
3 May 2006
Last Update Date
8 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
1456400563
Group Practice PAC ID
6709782600
Professional Enrollment ID
I20090521000625
Address ID
WA985065101OL525XXNEXX400

Contacts

Secure Messaging
athakker96644@wm.providencedirect.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

826 GENERAL SURGERY in WA

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Provider Addresses for ATUL THAKKER (M.D.)

  • 1720, Cooks Hill Road, Centralia, Lewis County, Washington, 98531, United States

    CENTRALIA, WA 985319071

    Phone: (360) 736-1195

    Fax: (360) 736-4952

    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 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Davol Inc. ($69).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Davol Inc.$69
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: 2009-05-21

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
I20090521000625IGeneral SurgeryWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes21891$0
99213Established patient office or other outpatient visit, 20-29 minutes11790$0
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito10290$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6057$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare5959$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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Provider's Procedures

ATUL THAKKER (M.D.) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYWA45385Removal of polyps or growths of large bowel using an endoscope7575

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: 6709782600View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
Gynecological Oncology, Obstetrics/GynecologyCA
-OR
Certified Nurse Midwife (Cnm)WA
O B S T E T R I C S/ G Y N E C O L O G YWA
-WA
Physician AssistantWA
Mental Health CounselorWA
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ATUL THAKKER (M.D.)?
ATUL THAKKER (M.D.) — NPI 1881652139 — is the standard way to identify this listing.
Is ATUL THAKKER (M.D.) still practicing?
ATUL THAKKER (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes ATUL THAKKER (M.D.)?
For research purposes, treat ATUL THAKKER (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ATUL THAKKER (M.D.)?
ATUL THAKKER (M.D.)'s geographic hint is Centralia, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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