Individual provider Active NPI

Shoma Thomas

  • Family Nurse Practitioner
  • Clinton TWP, MI
National Provider Identifier
1104341783
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704249780 Issued in MI
Practice address
16151 19 Mile Rd
Clinton TWP, MI 48038-1158
Phone
(586) 228-7433
NPI assigned
Aug 4, 2017
Last updated
Oct 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704249780 MI Primary

Addresses

Primary practice location

16151 19 Mile Rd
Clinton TWP, MI 48038-1158

Mailing address

14025 Wayford Run
Shelby TWP, MI 48315-4824
Phone (248) 824-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170929001410 MI Practitioner - Nurse Practitioner 3274808332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Intensive Care Assoc PLLCGroup PAC ID 6901813708, 4 clinicians

Practice addresses (Care Compare)

16151 19 Mile Rd
Suite 302
Clinton Township, MI 48038-1159
Phone (586) 228-7433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Intensive Care Assoc PLLC CurrentSince Oct 1, 2017 Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

16151 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2309

16151 19 Mile Rd
Ste 302
Clinton Twp, MI 48038
Phone (586) 228-7433

Interoperability endpoints

  • Direct secure messaging: sthomas7444@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1104341783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14025 WAYFORD RUN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154824",
            "telephone_number": "248-824-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381158",
            "telephone_number": "586-228-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704249780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.