Individual provider Active NPI

Thomas Pigorsh

  • Physician Assistant
  • New Haven, CT
National Provider Identifier
1043062193
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
PO Box 208004
New Haven, CT 06520-8004
Phone
(844) 433-9253
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 Primary

Addresses

Primary practice location

PO Box 208004
New Haven, CT 06520-8004

Mailing address

PO Box 208004
New Haven, CT 06520-8004
Phone (844) 433-9253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20240829002823 TN Practitioner - Physician Assistant 8628517042 Reassigns benefits to 1 organization
I20240909001448 MS Practitioner - Physician Assistant 8628517042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

11851 Will Harris Dr
Arlington, TN 38002-1039
Phone (901) 759-3100

1211 Union Ave
Suite 500
Memphis, TN 38104-6656
Phone (901) 759-3100

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

7887 Wolf River Blvd
Germantown, TN 38138-1718
Phone (901) 759-3100

8059 Stage Hills Blvd
Bartlett, TN 38133-4071
Phone (901) 383-4515

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6101TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic PC CurrentSince Jul 11, 2024 Accepting new patients
Campbell Clinic, PC Physician Assistant CurrentSince Jul 11, 2024 Accepting new patients
CC Bpci PLC Past Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196

7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

Interoperability endpoints

  • Direct secure messaging: thomas.pigorsh.1@1366.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4

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.

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": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1043062193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208004",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208004",
            "telephone_number": "844-433-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 208004",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208004",
            "telephone_number": "844-433-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGORSH",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.