Individual provider

Thomas Thekkekandam, M.D., ABFM, CAQSM

Sports Medicine (Family Medicine) Physician Medicare enrolled

Thomas Thekkekandam, M.D., ABFM, CAQSM is a Sports Medicine (Family Medicine) Physician in Greensboro, NC, registered under NPI 1962637926.

Getting there

The practice address on file is 1130 N CHURCH ST, Greensboro, NC 27401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1130 N CHURCH ST, Greensboro, NC 27401 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2012-01709 NC Sports Medicine (Family Medicine)… primary

This provider holds licence 2012-01709 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
4880829951
Enrollment ID
I20131025000441

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Sports Medicine covers

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NUCC Health Care Provider Taxonomy, code 207QS0010X
Allopathic & Osteopathic Physicians Family Medicine Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1962637926 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 20, 2009
Last updatedOct 22, 2025
StatusActive
Sole proprietorNo
CredentialM.D., ABFM, CAQSM
Practice address 1130 N CHURCH ST
Greensboro, NC 27401
(336) 375-2300
Fax (336) 375-2314
Mailing address PO BOX 5105
Belfast, ME 04915
This record was updated on Oct 22, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1962637926 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 6 2 6 3 7 9 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 3 2 3 3 5 9 4

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1962637926?
NPI 1962637926 is the National Provider Identifier assigned to Thomas Thekkekandam, M.D., ABFM, CAQSM in Greensboro, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the…
How do I contact Thomas Thekkekandam, M.D., ABFM, CAQSM?
The phone number on file with NPPES is (336) 375-2300, last updated Oct 22, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Thomas Thekkekandam, M.D., ABFM, CAQSM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1962637926 a valid number?
Yes. 1962637926 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.