Individual provider Active NPI

Richard William Thomas, M.D., D.D.S., M.S.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Washington, DC
National Provider Identifier
1104010214
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD00038094 Issued in WA
Practice address
111 Army Pentagon
Room 2E461
Washington, DC 20310-0111
Phone
(703) 693-1909
Fax
(703) 693-7072
NPI assigned
Aug 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD00038094 WA Primary

Addresses

Primary practice location

111 Army Pentagon
Room 2E461
Washington, DC 20310-0111

Mailing address

4301 Jones Bridge Rd
Office of the President
Bethesda, MD 20814-4712
Phone (301) 295-3013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20231128000249 WV Practitioner - Otolaryngology 7911282348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
West Virginia University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

2000 Foundation Way
Suite 3100
Martinsburg, WV 25401-9198
Phone (304) 264-1314

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33027WVMDLicensed Practical Nurse
MD00038094WAMDOtolaryngology/Facial Plastic Surgery Physician

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Berkeley Medical CenterMartinsburg, WV, CCN 510008 Hospital Corporate Director Oct 10, 2023
City Hospital IncMartinsburg, WV, CCN 51S008 Hospital Corporate Director Jun 2, 2026
JMC Transitional Care ServicesRanson, WV, CCN 51Z319 Hospital Corporate Director Jun 2, 2026
Harpers Ferry Family MedicineHarpers Ferry, WV, CCN 513897 Rural health clinic Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1104010214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 JONES BRIDGE RD",
            "address_2": "OFFICE OF THE PRESIDENT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144712",
            "telephone_number": "301-295-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARMY PENTAGON",
            "address_2": "ROOM 2E461",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203100111",
            "telephone_number": "703-693-1909",
            "fax_number": "703-693-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "MD00038094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.