STHORN THATAYATIKOM (MD) – Pediatric Allergy/Immunology Physician, NPI 1134394596
Pediatric Allergy/Immunology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for STHORN THATAYATIKOM (MD)
UF Health Shands Hospital, 1600, Archer Road, Gainesville, Alachua County, Florida, 32608, United States
BOX 100371
GAINESVILLE, FL 326100296
Phone: (352) 294-5252
Fax: (352) 294-8068
Type: Location
1600 SW Archer Rd
Box 100371
Gainesville, FL 326100296
Phone: (352) 294-5252
Fax: (352) 294-8068
Type: Location
191, Mill Street, Rockport, Knox County, Maine, 04856, United States
PROVIDER ENROLLMENT
ROCKLAND, DE 197320191
Phone: (302) 651-6212
Fax: (302) 651-4945
Type: Mailing
3000 N ORANGE AVE STE DE
ORLANDO, FL 328047613
Phone: (407) 845-8342
Fax: (407) 845-8343
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $310.
Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($279).
Total Amount
$310
General + Research + Ownership
Payments
4
Total payment records
General Amount
$310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $279 |
| Novartis Pharmaceuticals Corporation | $31 |
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: 2015-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150309000379 | I | Allergy/Immunology | FL | TBD |
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.
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 32610)
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Reviews
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