Thomas E Radosevich, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5976A Issued in WY

Practice address

120 N C Ave
Thermopolis, WY 82443-2410

Phone

(307) 864-5534

NPI assigned

Jun 11, 2006

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Family Practice

Education

Creighton University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

S48Wy1 LLCGroup PAC ID 9436474137, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• S48Wy1, LLC

  dba Wyoming Recovery

  • Substance Abuse Rehabilitation Facility
  • Casper, WY
  • NPI 1891994950
  Medicare reassignment Care Compare group NPD
• Family Medical Center

  • Clinic/Center
  • Buffalo, WY
  • NPI 1285612317
  Medicare reassignment NPD
• Hot Springs County Hospital District

  • Critical Access Hospital
  • Thermopolis, WY
  • NPI 1861550642
  Medicare reassignment NPD
• Sound Physicians of Wyoming, LLC

  • Hospitalist Physician
  • Casper, WY
  • NPI 1982982708

  Family Medicine

  Medicare reassignment NPD
• University of Wyoming

  dba University of Wyoming Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Cheyenne, WY
  • NPI 1770681439

  Family Medicine

  Medicare reassignment NPD
• Hot Springs County Hospital District

  dba Hot Springs Health Riverton

  • Rural Health Clinic/Center
  • Riverton, WY
  • NPI 1841814084
  NPD
• University of Wyoming

  • Federally Qualified Health Center (FQHC)
  • Casper, WY
  • NPI 1558657650

  Family Medicine

  NPD
• Wyoming Recovery Rawlins

  dba Wyoming Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rawlins, WY
  • NPI 1528657590
  NPD
• University of Wyoming

  dba Albany Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Laramie, WY
  • NPI 1639617061

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1114969698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S WILSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012941",
            "telephone_number": "307-234-6161",
            "fax_number": "307-234-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N C AVE",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432410",
            "telephone_number": "307-864-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOSEVICH",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "5976A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117895400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Clinic PC
• Leif Andrew Polson, D.D.S
• Roger Pomeroy
• Leila H Porath, PT
• Jaime Marie Preston
• Michael J Rawlings
• Red Rock Family Practice, Inc
• Red Rock Family Practice, PC
• William Dwight Robinson, DDS
• Kevin James Ryan, CRNA

• Family Medicine Physician in Thermopolis, WY
• Providers in Thermopolis, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.

Verify at the official NPI Registry.