Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ilka Dietlinde Theruvath, MD, PHD

Individual provider Anesthesiology Physician · NPI 1770700304

Dr. Ilka Dietlinde Theruvath, MD, PHD is an Anesthesiology in Charlotte, North Carolina. Qualified in 2000, 26 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
26
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Phone: (704) 749-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2536 Lengers Way, Fort Mill, SC 29707-7126 — (704) 749-5800

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 2015-00804 (NC)
Anesthesiology Physician Taxonomy 207L00000X · Licence 29705 (SC)

Record details

NPI number1770700304
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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