Individual provider Active NPI

Robert D. Thomas, M.D.

  • Diagnostic Radiology Physician
  • Greeneville, TN
National Provider Identifier
1104821990
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
32044 Issued in TN
Practice address
401 Takoma Ave
Greeneville, TN 37743-4647
Phone
(423) 636-2362
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 32044 TN Primary

Addresses

Primary practice location

401 Takoma Ave
Greeneville, TN 37743-4647

Mailing address

5500 Lonas Dr
Suite 360
Knoxville, TN 37909-3200
Phone (865) 531-6070

Other identifiers 2

IdentifierTypeStateIssuer
3856765MedicaidTN
4005960OtherTNBCBSTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 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
I20111202000635 TN Practitioner - Diagnostic Radiology 7416122460 Reassigns benefits to 2 organizations
I20181004000803 CA Practitioner - Diagnostic Radiology 7416122460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (855) 504-4544

900 Mono Way
Sonora, CA 95370-5229
Phone (855) 504-4544

930 Doyle Davis Rd
Greeneville, TN 37743-2471
Phone (855) 504-4544

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Empire Radiology Inc PC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Jason L Hwang MD Inc Diagnostic Radiology CurrentSince Jul 23, 2018 Accepting new patients
Sunbelt Radiology, PLLC Diagnostic Radiology Past Accepting new patients

Locations

4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940

900 Mono Way
Sonora, CA 95370
Phone (209) 536-6925

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

100 Greenway Cir
Erwin, TN 37650
Phone (423) 743-1271

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

Organizations & group practices 3

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1104821990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 LONAS DR",
            "address_2": "SUITE 360",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093200",
            "telephone_number": "865-531-6070",
            "fax_number": "865-531-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-636-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "32044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3856765",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4005960",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.