Active NPI
John M Thomas, D.P.M.
- Podiatrist
- Richfield, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1151
- Practice address
- 6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673 - Phone
- (612) 788-8778
- Fax
- (612) 869-3473
- NPI assigned
- Jun 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 01584 | MD | |
| Podiatrist | 213E00000X | 1151 | MN | Primary |
Addresses
Primary practice location
6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673
Mailing address
6625 Lyndale Ave S Ste 300
Richfield, MN 55423-2491
Phone (612) 788-8778
Other practice location 1
560 Riverside Dr
Suite a-101
Salisbury, MD 21801-4700
Phone (410) 749-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 788-8778
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 735 |
| Removal or shaving of skin growth | 290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01584 | MD | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In House Senior Services, LLC | Podiatrist | Current | Accepting new patients |
| Active Feet, Foot & Ankle Health Center | Foot & Ankle Surgery | Current | Accepting new patients |
| Active Feet , Foot & Ankle Health Center | Podiatrist | Current | Accepting new patients |
Locations
10995 Club West Pkwy
Ste 500
Blaine, MN 55449
Phone (763) 230-7880
6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999
6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029
4001 Stinson Blvd NE
Ste 120
Saint Anthony, MN 55421
Organizations & group practices 3
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.
-
- Primary Podiatric Medicine Podiatrist
- Minneapolis, MN
- NPI 1689848392
-
- Primary Podiatric Medicine Podiatrist
- Richfield, MN
- NPI 1083962294
-
- Foot & Ankle Surgery Podiatrist
- Minneapolis, MN
- NPI 1164716387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1033471990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 LYNDALE AVE S STE 300",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232491",
"telephone_number": "612-788-8778",
"fax_number": "612-869-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 LYNDALE AVE S STE 105",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232673",
"telephone_number": "612-788-8778",
"fax_number": "612-869-3473"
}
],
"practiceLocations": [
{
"address_1": "560 Riverside Dr",
"address_2": "SUITE A-101",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218014700",
"country_code": "US",
"telephone_number": "410-749-0121",
"fax_number": "410-749-6807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHN",
"middle_name": "M",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-15",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MD",
"license": "01584",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "1151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.