Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003490426 Individual Practitioner Female Practitioner

Dr. Sushmita Thota , MD

Pediatrics • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Dr. Sushmita Thota, MD is a registered healthcare professional specializing in Pediatrics in Poplar Bluff, MO. Practice services are available at 2879 JAMES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2879 James Blvd

Poplar Bluff, MO 639013395

Telephone 5737121610
Fax 5737766124
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Poplar Bluff, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2024026869

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

109 Plum St Ste B

Doniphan, MO 639351225

Phone: 5733510220

711 Nickey St

Poplar Bluff, MO 639016544

Phone: 5737857047

220 East Broad Street

Naylor, MO 63953

Phone: 5733992311

11001 Us-160

Harviell, MO 63945

Phone: 5738049561

603 E Summit St

Doniphan, MO 639351142

Phone: 5739963667

17959 Main St

Eminence, MO 654666375

Phone: 5732265505

225 Physicians Park Ste 102

Poplar Bluff, MO 639013918

Phone: 5737275500

3277 Us Highway 160 W

Doniphan, MO 639355710

Phone: 5738049527

225 Physicians Park Ste 200

Poplar Bluff, MO 639013921

Phone: 5737275500

2210 Barron Rd Ste 120

Poplar Bluff, MO 639011922

Phone: 5737856536

405 Main Street

Van Buren, MO 63965

Phone: 5733234253

1 Hals Plz Ste A

Piedmont, MO 639571631

Phone: 5732234800

315 W Mulberry Ste A

Pilot Knob, MO 636637883

Phone: 5735460602

61 Highway Y

Ellington, MO 636387802

Phone: 5736632525

109 Plum St Ste A

Doniphan, MO 639351225

Phone: 5733510150

109 Leroux St

Doniphan, MO 639351038

Phone: 5739962136

202 Allen St

Annapolis, MO 636208778

Phone: 5735984213

1300 Victory Ln

Poplar Bluff, MO 639013300

Phone: 5737855566

2300 Baugh Ln

Poplar Bluff, MO 639012402

Phone: 5737853037

289 Broadway St

Neelyville, MO 639547176

Phone: 5738049494

2879 James Blvd

Poplar Bluff, MO 639013395

Phone: 5736098800

109 Plum St Ste C

Doniphan, MO 639351225

Phone: 5733510150

101 E Batten Street

Naylor, MO 63953

Phone: 5738041779

2210 Barron Rd Ste 222

Poplar Bluff, MO 639011906

Phone: 5733510138

225 Physicians Park Ste 104

Poplar Bluff, MO 639013918

Phone: 5734134065

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jody Spain , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1427364744

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Becky Watson , MD

Obstetrics & Gynecology

NPI 1841285681

Doctor of Medicine (M.D.)

NPI 1972589968

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address June 18, 2026

Registered at 110 S 2ND ST, ELLINGTON, MO 636389400 (Tel: 5736632313)

📍
Updated Practice Location October 09, 2024

Registered at 2879 JAMES BLVD, POPLAR BLUFF, MO 639013395 (Tel: 2145668275)

📍
Updated Business Mailing Address October 09, 2024

Registered at 205 MACINTOSH LN, POPLAR BLUFF, MO 639019116 (Tel: 2145668275)

👤
Provider Name / Credentials Updated October 09, 2024

Recorded as SUSHMITA THOTA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Pediatrics (License #2024026869 in MO)

NPI Profile Active May 11, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2021

Registered at 4201 SAINT ANTOINE ST, DETROIT, MI 482012153 (Tel: 2145668275)

📍
Updated Business Mailing Address May 11, 2021

Registered at 1004 ISLAND DR, ANN ARBOR, MI 48105 (Tel: 2145668275)

👤
Provider Name / Credentials Updated May 11, 2021

Recorded as SUSHMITA THOTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003490426
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2021
Last Update: July 30, 2026
Sole Proprietor: No

Mailing Address

110 S 2nd St

Ellington, MO 636389400

Phone: 5736632313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.