Venkata Ram Prasad Thota, M.D.
Internal Medicine in Palm Coast, FL. Individual provider (NPI-1).
NPI number1699009043
StatusActive
Last updated in NPPESMar 10, 2023
Details
- NPI
- 1699009043
- Entity type
- Individual (NPI-1)
- Name
- Venkata Ram Prasad Thota
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2009
- Certification date
- Mar 10, 2023
- Last updated
- Mar 10, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | T5474 | TX | Yes |
| 207R00000X | Internal Medicine | 067621 | GA | |
| 207R00000X | Internal Medicine | ME111847 | FL | |
| 207R00000X | Internal Medicine | 125.055607 | IL |
Practice location
60 Memorial Medical PkwyFlorida Hospital Flagler Inpatient Partners
Palm Coast, FL 32164-5980
Phone 386-586-4743 · Fax 386-586-4740
Mailing address
60 Memorial Medical PkwyFlorida Hospital Flagler Inpatient Partners
Palm Coast, FL 32164-5980
Phone 386-586-4743 · Fax 386-586-4740
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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