Active NPI
Dani J Thomas, DO
- Critical Care Medicine (Internal Medicine) Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- DO161762
- Practice address
- 520 Medical Center Dr
Suite 2001
Medford, OR 97504-4334 - Phone
- (541) 789-5710
- Fax
- (813) 979-3606
- NPI assigned
- Jul 26, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS10512 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS10512 | FL | |
| Pulmonary Disease Physician | 207RP1001X | OS10512 | FL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | DO161762 | OR | Primary |
| Pulmonary Disease Physician | 207RP1001X | DO161762 | OR |
Addresses
Primary practice location
520 Medical Center Dr
Suite 2001
Medford, OR 97504-4334
Mailing address
2620 E Barnett Rd Ste H
Medford, OR 97504-8383
Phone (541) 789-4281
Other names 1
- Dani Thomas
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dthomas872058@oc.providencedirect.org | ||
| Direct Messaging Address | dthomas872058@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of South Florida College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290
Hospital & facility affiliations
- Asante Rogue Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10512 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| DO161762 | OR | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Internal Medicine | Current | Accepting new patients |
Locations
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2620 E Barnett Rd
Ste H
Medford, OR 97504
Phone (541) 789-4281
520 Medical Center Dr
Ste 2001
Medford, OR 97504
Phone (541) 789-5710
Interoperability endpoints
- dthomas872058@oc.providencedirect.org
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.
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1104056092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 E BARNETT RD STE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-789-4281",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MEDICAL CENTER DR",
"address_2": "SUITE 2001",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975044334",
"telephone_number": "541-789-5710",
"fax_number": "813-979-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DANI",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-26",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS10512",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS10512",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "OS10512",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OR",
"license": "DO161762",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "DO161762",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dthomas872058@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1698 E McAndrews Rd Ste 400",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975045590",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dthomas872058@oc.providencedirect.org",
"affiliation": "N",
"address_1": "827 Spring St",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975046104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DANI",
"last_name": "THOMAS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.