Active NPI
Thomas Andrew Luscomb
- Anesthesiology Physician
- Truckee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A168545
- Practice address
- 10121 Pine Ave
Truckee, CA 96161-4835 - Phone
- (530) 587-6011
- NPI assigned
- May 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A168545 | CA | Primary |
Addresses
Primary practice location
10121 Pine Ave
Truckee, CA 96161-4835
Mailing address
10050 Bridge St # 470
Truckee, CA 96161-0212
Phone (405) 569-0752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (406) 721-4436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A168545 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Bone & Joint, LLC | Current | Accepting new patients | |
| Gallatin Valley Anesthesia Associates PC | Anesthesiology | Current | Accepting new patients |
| Intercity Radiology, PC | Past | Accepting new patients |
Locations
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
2360 Mullan Rd
Ste B
Missoula, MT 59808
Phone (406) 542-9695
2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695
Interoperability endpoints
- https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Orthopaedic Surgery Physician
- Missoula, MT
- NPI 1447207212
-
- Anesthesiology Physician
- Bozeman, MT
- NPI 1336165182
-
- Specialist
- Bozeman, MT
- NPI 1356390736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1053767459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 BRIDGE ST # 470",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610212",
"telephone_number": "405-569-0752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10121 PINE AVE",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614835",
"telephone_number": "530-587-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSCOMB",
"first_name": "THOMAS",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A168545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.