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

Dr. Thomas Joseph Thekkekandam, MD, ABFM, CAQSM

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1962637926

Dr. Thomas Joseph Thekkekandam, MD, ABFM, CAQSM is a Family Practice in Greensboro, North Carolina. Qualified in 2009, 17 years ago. Practices with Professional Therapies of Roanoke, Inc, a 278-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1130 N Church St
Greensboro, NC 27401-1038
Phone: (336) 375-2300
Fax: (336) 375-2314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1635 Nc Highway 66 S, Kernersville, NC 27284-3854 — (336) 992-1770

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 2012-01709 (NC)

Record details

NPI number1962637926
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , ABFM , CAQSM
Sole proprietorNo
NPI enumeratedMay 20, 2009
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Professional Therapies Of Roanoke, Inc. — 278 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Greensboro