Individual provider Active NPI

Randall Clyde Thomas Jr., D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1013201417
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003703 Issued in OH
Practice address
3695 N High St
Columbus, OH 43214-3520
Phone
(614) 267-8387
Fax
(614) 267-2250
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003703 OH Primary

Addresses

Primary practice location

3695 N High St
Columbus, OH 43214-3520

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779

Other identifiers 1

IdentifierTypeStateIssuer
0103986MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140905002063 OH Practitioner - Podiatry 0446496004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

6480 Harrison Ave
Cincinnati, OH 45247-7821
Phone (513) 354-3700

Hospital & facility affiliations

  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel Dublin Hospital, Dublin, OH, CCN 360375
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Oct 15, 2014 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 15, 2014 Accepting new patients
Polaris Surgery Center, LLC Current Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Oct 1, 2022 Accepting new patients
Dublin Foot and Ankle Foot & Ankle Surgery Current Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD CurrentSince Oct 1, 2022 Accepting new patients

Locations

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3695 N High St
Columbus, OH 43214
Phone (614) 267-8387

6850 Perimeter Dr
Ste B
Dublin, OH 43016
Phone (614) 267-8387

5060 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (609) 969-8562

5350 Frantz Rd
Dublin, OH 43016

725 Buckles Ct N
Ste 120
Gahanna, OH 43230
Phone (614) 591-3891

2030 Stringtown Rd
Ste 210B
Grove City, OH 43123
Phone (614) 505-8890

350 W Wilson Bridge Rd
Ste 200
Worthington, OH 43085
Phone (614) 505-8990

2854 Bell St
Zanesville, OH 43701
Phone (740) 454-3273

Networks

  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO
  • KY PPO C-SNP
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO

Interoperability endpoints

  • Direct secure messaging: randall.thomas.1@23107.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randall.thomas.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1013201417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143520",
            "telephone_number": "614-267-8387",
            "fax_number": "614-267-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RANDALL",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103986",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.