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

Dr. Tom Prakash Theruvath, MD

Individual provider Surgery Physician · NPI 1083875058

Dr. Tom Prakash Theruvath, MD is a Thoracic Surgery in Charlotte, North Carolina. Qualified in 2000, 26 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
26
Licensed in
NC, SC
In the registry since
2008
Specialties on file
3
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

301 Hawthorne Ln Ste 200
Charlotte, NC 28204-2467
Phone: (704) 316-5100
Fax: (704) 316-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 2015-01140 (NC)
Surgery Physician Taxonomy 208600000X · Licence LL 30838 (SC)
Surgery Physician Taxonomy 208600000X · Licence 2015-01140 (NC)

Record details

NPI number1083875058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2008
Last updated in NPPESOctober 25, 2020
Certification dateSeptember 25, 2020

Medicare enrollment

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

Medicare specialtyTHORACIC SURGERY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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