Active NPI
Jacob Thomas, M.D.
- Anesthesiology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-43497
- Practice address
- 200 Hawkins Dr
Department of Anesthesiology
Iowa City, IA 52242-1009 - Phone
- (319) 353-7783
- Fax
- (319) 365-2940
- NPI assigned
- Jun 26, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-43497 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Dr
Department of Anesthesiology
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Department of Anesthesiology
Iowa City, IA 52242-1009
Phone (319) 353-7783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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
- Anesthesiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 324-8160
Hospital & facility affiliations
- Genesis Medical Center-Davenport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Analgesia PC | Anesthesiology | Current | Accepting new patients |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| Dubuque Anesthesia Services, PC | Past | Accepting new patients |
Locations
2300 53rd Ave
Bettendorf, IA 52722
Phone (563) 332-4422
2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686
3319 Spring St
Ste 202
Davenport, IA 52807
Phone (563) 355-6236
3319 Spring St
Davenport, IA 52807
Phone (319) 359-1641
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
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.
-
- Anesthesiology Physician
- Davenport, IA
- NPI 1558306381
-
- Multi-Specialty Clinic/Center
- Dubuque, IA
- NPI 1457300790
-
- Certified Registered Nurse Anesthetist
- Dubuque, IA
- NPI 1356455257
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1114281920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-353-7783",
"fax_number": "319-365-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-353-7783",
"fax_number": "319-365-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JACOB",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "MD-43497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.