Individual provider Active NPI

Eric L Thomas, M.D.

  • Surgery Physician
  • Peoria, AZ
National Provider Identifier
1073584470
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
41166 Issued in AZ
Practice address
14155 N 83Rd Ave Ste A105
Peoria, AZ 85381-5640
Phone
(623) 486-7700
Fax
(623) 486-7703
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101058099 VA
Surgery Physician 208600000X 41166 AZ Primary

Addresses

Primary practice location

14155 N 83Rd Ave Ste A105
Peoria, AZ 85381-5640

Mailing address

2525 E Thomas Rd
Phoenix, AZ 85016-7935
Phone (602) 470-5000

Other identifiers 1

IdentifierTypeStateIssuer
442730MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230829001787 VA Practitioner - General Surgery 5991850042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spotsylvania Multi-Specialty Group, LLCGroup PAC ID 1153455514, 8 clinicians

Practice addresses (Care Compare)

4604 Spotsylvania Pkwy
Suite 125
Fredericksburg, VA 22408-7764
Phone (540) 423-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.58 of 100Reported as group
Quality
95.53
Promoting interoperability
100
Improvement activities
40
Cost
73.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41166AZMDSurgery Physician
0101058099VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spotsylvania Multi-Specialty Group, LLC Surgery CurrentSince Jul 16, 2023 Accepting new patients
District Medical Group, Inc Surgery Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4604 Spotsylvania Pkwy
Ste 125
Fredericksburg, VA 22408
Phone (540) 423-6600

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

Organizations & group practices 2

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 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1073584470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167935",
            "telephone_number": "602-470-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE STE A105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815640",
            "telephone_number": "623-486-7700",
            "fax_number": "623-486-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101058099",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "41166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442730",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.