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

Dr. Judith Jebastin Thangaiah

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1124403761

Dr. Judith Jebastin Thangaiah is a Pathology in Rochester, Minnesota. Qualified in 2008, 18 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
18
Licensed in
MI, MN
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-2600

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 67128 (MN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301107786 (MI)

Record details

NPI number1124403761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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