NPIMap

Individual provider Active NPI

Preston Thomas

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1083135180
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2017022167 Issued in MO
Practice address
1 Hospital Dr # Mc404
Columbia, MO 65212-1000
Phone
(573) 884-2000
Fax
(573) 884-2000
NPI assigned
Jun 29, 2017
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2017022167 MO Primary
Surgery Physician 208600000X 2017022167 MO

Addresses

Primary practice location

1 Hospital Dr # Mc404
Columbia, MO 65212-1000

Mailing address

1 Hospital Dr # Mc404
Columbia, MO 65212-1000
Phone (573) 884-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230310000595 MO Practitioner - Diagnostic Radiology 4789953555 Reassigns benefits to 4 organizations
I20230310000829 KS Practitioner - Diagnostic Radiology 4789953555 Reassigns benefits to 4 organizations
I20260128001811 WI Practitioner - Diagnostic Radiology 4789953555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Radiology PAGroup PAC ID 8426961517, 37 clinicians
Johnson County Imaging Center LLCGroup PAC ID 8628978053, 31 clinicians
Bates County Memorial HospitalGroup PAC ID 8123937356, 66 clinicians
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2270

11717 W 112TH St
Overland Park, KS 66210-2761
Phone (913) 469-8998

1301 S Main St
Alliance Radiology
Ottawa, KS 66067-3537
Phone (913) 599-6777

1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101

16950 W 86TH St
Lenexa, KS 66219-4506
Phone (913) 599-6777

23401 Prairie Star Pkwy
Lenexa, KS 66227-7268
Phone (913) 599-6777

2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Phone (816) 407-2038

3210 NE Carnegie Dr
Lees Summit, MO 64064-3201
Phone (913) 469-8998

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7000

7820 W 165TH St
Radiology Department
Overland Park, KS 66223-2925
Phone (913) 599-6777

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2310

9778 N Ash Ave
Kansas City, MO 64157-9742
Phone (913) 469-8998

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.76 of 100Reported as group
Quality
46.12
Promoting interoperability
100
Improvement activities
40
Cost
53.08

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathology Group Inc Current Accepting new patients
Chippewa Valley Hospital & Oakview Care Center, Inc. CurrentSince Nov 20, 2025 Accepting new patients
Mawd Pathologists, LLC Current Accepting new patients
Alliance Radiology, PA Diagnostic Radiology CurrentSince Oct 8, 2024 Accepting new patients
Bates County Memorial Hospital CurrentSince Jun 14, 2025 Accepting new patients
Shawnee Mission Medical Center, Inc. CurrentSince Nov 26, 2024 Accepting new patients
Chippewa Valley Hospital & Oakview Care Center Inc. Diagnostic Radiology CurrentSince Nov 20, 2025 Accepting new patients
Bates County Memorial Hospital CurrentSince Jun 14, 2025 Accepting new patients
Johnson County Imaging Center LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Nevada City Hospital CurrentSince Jul 11, 2025 Accepting new patients
Bates County Memorial Hospital Surgery Current Accepting new patients
Nevada City Hospital CurrentSince Jul 11, 2025 Accepting new patients
Regional Imaging, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients

Locations

11717 W 112th St
Overland Park, KS 66210

12000 W 110th St
Ste 500
Overland Park, KS 66210

8000 College Blvd
Overland Park, KS 66210
Phone (913) 338-3344

9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

3210 NE Carnegie Dr
Lees Summit, MO 64064

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 10

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1083135180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # MC404",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR # MC404",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652121000",
            "telephone_number": "573-884-2000",
            "fax_number": "573-884-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PRESTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2017022167",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2017022167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.