Individual provider Active NPI

Annie Thomas, MD

  • Family Medicine Physician
  • Oldsmar, FL
National Provider Identifier
1063421949
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME41930 Issued in FL
Practice address
3684 Tampa Road
Unit 3
Oldsmar, FL 34677-6351
Phone
(813) 818-4516
Fax
(813) 855-2809
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME41930 FL Primary

Addresses

Primary practice location

3684 Tampa Road
Unit 3
Oldsmar, FL 34677-6351

Mailing address

3684 Tampa Road
Unit 3
Oldsmar, FL 34677-6351
Phone (813) 818-4516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000129 FL Practitioner - Family Practice 6406928316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3684 Tampa Rd
Oldsmar, FL 34677-6351
Phone (813) 818-4516

3684 Tampa Rd Unit
Suite 3
Oldsmar, FL 34677-6351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Annie Thomas MD PA CurrentSince Jan 1, 1983 Accepting new patients

Locations

3684 Tampa Rd
Unit 3
Oldsmar, FL 34677
Phone (727) 786-5587

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1063421949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 TAMPA ROAD",
            "address_2": "UNIT 3",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776351",
            "telephone_number": "813-818-4516",
            "fax_number": "813-855-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 TAMPA ROAD",
            "address_2": "UNIT 3",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346776351",
            "telephone_number": "813-818-4516",
            "fax_number": "813-855-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME41930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.