NPIMap

Individual provider Active NPI

Timothy D Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Oklahoma City, OK
National Provider Identifier
1023122124
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
215 Issued in OK
Practice address
13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431
Phone
(405) 418-4500
Fax
(405) 418-4501
NPI assigned
Aug 18, 2006
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 215 OK
Foot & Ankle Surgery Podiatrist 213ES0103X 215 OK Primary

Addresses

Primary practice location

13100 N Western Ave Ste 200
Oklahoma City, OK 73114-1431

Mailing address

PO Box 268996
Oklahoma City, OK 73126-8996
Phone (405) 418-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031111000495 OK Practitioner - Podiatry 7618880089 Reassigns benefits to 2 organizations
I20230502000358 TX Practitioner - Podiatry 7618880089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

1127 S George Nigh Expy
Choctaw Nation Health Care McAlester
McAlester, OK 74501-7143
Phone (539) 316-6391

15951 Little Axe Dr
Norman, OK 73026-9088
Phone (405) 447-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Oct 8, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 3, 2025 Accepting new patients
Citizen Potawatomi Nation CurrentSince Jan 6, 2023 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 3, 2025 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Allied Woundcare Center LLC CurrentSince Jul 1, 2025 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Absentee Shawnee Tribal Health Authority, Inc. CurrentSince Oct 8, 2023 Accepting new patients
Baha Al Deen Abuesheh MD PC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

102 Starlite Dr
Ste E
Kingfisher, OK 73750
Phone (405) 768-5749

1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440

15951 Little Axe Dr
Norman, OK 73026
Phone (405) 447-0300

8324 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 473-6866

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

2029 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 878-4702

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

204 E Walnut St
Tecumseh, OK 74873
Phone (405) 287-3028

204 E Walnut St
#C
Tecumseh, OK 74873

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21021/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.thomas.p10@direct.okc.nextgenshare.com

Organizations & group practices 10

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

Hospital & facility affiliations 11

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1023122124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268996",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268996",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 N WESTERN AVE STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731141431",
            "telephone_number": "405-418-4500",
            "fax_number": "405-418-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "215",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.