Active NPI
Adam Thomas
- Emergency Medicine Physician
- Lebanon, IN
National Provider Identifier
1073873154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01075375A
- Practice address
- 2605 N Lebanon St
Lebanon, IN 46052-1476 - Phone
- (765) 485-8000
- NPI assigned
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01075375A | IN | Primary |
Addresses
Primary practice location
2605 N Lebanon St
Lebanon, IN 46052-1476
Mailing address
PO Box 804
Lafayette, IN 47902-0804
Phone (765) 485-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000949479 | Other | IN | ANTHEM |
| 201102390 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Emergency Physicians, Inc | Emergency Medicine | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
6085 Heartland Dr
Zionsville, IN 46077
Phone (317) 768-2100
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.
-
- Emergency Medicine Physician
- Lebanon, IN
- NPI 1891741641
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1073873154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 804",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479020804",
"telephone_number": "765-485-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 N LEBANON ST",
"city": "LEBANON",
"state": "IN",
"postal_code": "460521476",
"telephone_number": "765-485-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01075375A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000949479",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201102390",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, IN
- Nimesh Govind Thakkar, PHARMD
- Ashleigh Tharp, DO
- The Morgan Elizabeth Community Transportation Corporation
- The Morgan Elizabeth Community Transportation Corporation
- Laura Elizabeth Thieme, MD
- Elizabeth Thompson, RBT
- Isaiah David Thompson, LMHC
- Hayden Tippmann, RBT
- Franchesca Tolentino, RBT
- Dorit Tomandl, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.