Individual provider Active NPI

Monica Thomas, PA

  • Physician Assistant
  • Nottingham, MD
National Provider Identifier
1013245281
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004667 Issued in MD
Practice address
8100 Sandpiper Cir
St. 214
Nottingham, MD 21236-4991
Phone
(443) 693-7246
Fax
(866) 442-5401
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0004667 MD Primary

Addresses

Primary practice location

8100 Sandpiper Cir
St. 214
Nottingham, MD 21236-4991

Mailing address

7920 McDonogh Rd
Suite 201
Owings Mills, MD 21117-5273
Phone (443) 693-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150310002371 MD Practitioner - Physician Assistant 8628264751 Reassigns benefits to 1 organization
I20190718000263 DC Practitioner - Physician Assistant 8628264751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

810 Bestgate Rd
Suite 220
Annapolis, MD 21401-3648
Phone (410) 571-2946

8100 Sandpiper Cir
Suite 214
Nottingham, MD 21236-4999
Phone (410) 571-2946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004667MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Specialists, LLC CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Physician Assistant CurrentSince Sep 14, 2017 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients

Locations

810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460

602 S Atwood Rd
Ste 103
Bel Air, MD 21014
Phone (410) 836-7119

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

8100 Sandpiper Cir
Ste 214
Nottingham, MD 21236
Phone (443) 442-0500

7920 McDonogh Rd
Ste 201
Owings Mills, MD 21117
Phone (443) 321-2590

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: monica.thomas.1@11679.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1013245281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MCDONOGH RD",
            "address_2": "SUITE 201",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175273",
            "telephone_number": "443-693-7246",
            "fax_number": "866-902-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SANDPIPER CIR",
            "address_2": "ST. 214",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364991",
            "telephone_number": "443-693-7246",
            "fax_number": "866-442-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MONICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

Verify at the official NPI Registry.