Individual provider Active NPI

Ian Stephon Thomas, MD

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1083241228
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301505818 Issued in MI
Practice address
1250 Columbia Ave E
Battle Creek, MI 49014-5159
Phone
(269) 883-6052
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1015023 MA
Sports Medicine (Family Medicine) Physician 207QS0010X 4301505818 MI
General Practice Physician 208D00000X 35.143499 OH
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 4301505818 MI Primary

Addresses

Primary practice location

1250 Columbia Ave E
Battle Creek, MI 49014-5159

Mailing address

960 Mass Ave Ste 2
Boston, MA 02118-2690

Other practice location 1

11 Melnea Cass Blvd
Boston, MA 02119-4401
Phone (617) 414-2080

Other practice location 2

7045 Lighthouse Way
Perrysburg, OH 43551-7000
Phone (419) 873-6836

Other practice location 3

300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221007000960 MI Practitioner - Sports MedicinePractitioner - General Practice 4880016112 Reassigns benefits to 3 organizations
I20241220002102 MI Practitioner - Family Practice 4880016112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians
East Columbia Urgent Care PLLCGroup PAC ID 1951811066, 3 clinicians
Grace Health IncGroup PAC ID 1052229226, shared by 2 NPIs, 29 clinicians

Practice addresses (Care Compare)

1202 W Oak St
Greenville, MI 48838-2155

1250 Columbia Ave E
Battle Creek, MI 49014-5159
Phone (269) 883-6052

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (616) 965-8866

181 W Emmett St
Battle Creek, MI 49037-2963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015023MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jan 1, 2025 Accepting new patients
Thomas Sports and Regenerative Orthopedics PLLC Sports Medicine CurrentSince Jul 1, 2024 Accepting new patients
Western Michigan University School of Medicine CurrentSince Jun 1, 2024 Accepting new patients
Grace Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients
East Columbia Urgent Care PLLC Family Medicine CurrentSince Apr 14, 2025 Accepting new patients
Spectrum Health United Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Thomas Medical Independent Contracting LLC Sports Medicine Current Accepting new patients
Grace Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients
Thomas Family Practice PC Family Medicine PastSince Feb 1, 2021 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

1250 Columbia Ave E
Ste A
Battle Creek, MI 49014
Phone (269) 883-6049

181 Emmett St W
Battle Creek, MI 49037
Phone (269) 965-8866

1250 Columbia Ave E
Ste B
Battle Creek, MI 49014
Phone (269) 883-6052

1250 Columbia Ave E
Battle Creek, MI 49014
Phone (269) 883-6052

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

555 W Crosstown Pkwy
Ste 200
Kalamazoo, MI 49008
Phone (269) 337-6500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHACD
  • Direct secure messaging: ithomas36924@direct.bostonchildrens.org
  • Direct secure messaging: ithomas2981432@epic00.corewelldirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHACD/Endpoint/JIHACD

Organizations & group practices 11

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 3

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1083241228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 COLUMBIA AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145159",
            "telephone_number": "269-883-6052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Melnea Cass Blvd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021194401",
            "country_code": "US",
            "telephone_number": "617-414-2080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7045 Lighthouse Way",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435517000",
            "country_code": "US",
            "telephone_number": "419-873-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155724",
            "country_code": "US",
            "telephone_number": "617-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "IAN",
        "middle_name": "STEPHON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "1015023",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301505818",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.143499",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.