Individual provider Active NPI

Robert Ty Thomas, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Vestavia, AL
National Provider Identifier
1134339799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
27872 Issued in AL
Practice address
2868 Acton Rd
Vestavia, AL 35243-2502
Phone
(205) 332-3160
Fax
(866) 702-0880
NPI assigned
May 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 27872 AL
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 27872 AL Primary

Addresses

Primary practice location

2868 Acton Rd
Vestavia, AL 35243-2502

Mailing address

2868 Acton Rd
Vestavia, AL 35243-2502
Phone (205) 332-3160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20091014000674 AL Practitioner - Physical Medicine and Rehabilitation 7416093810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Healthcare, LLCGroup PAC ID 8224206388, 14 clinicians

Practice addresses (Care Compare)

2868 Acton Rd
Vestavia, AL 35243-2502
Phone (205) 332-3160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27872ALMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Pain Consultants LLC Pain Medicine Current Accepting new patients
Park Place Healthcare LLC Physical Medicine & Rehabilitation Past Accepting new patients
Taustin Laboratories PastSince Jan 31, 2014 Accepting new patients

Locations

860 Montclair Rd
Ste 955
Birmingham, AL 35213
Phone (205) 332-3160

Interoperability endpoints

  • Direct secure messaging: austinandthomas.roberttythomas@118741.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134339799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 ACTON RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432502",
            "telephone_number": "205-332-3160",
            "fax_number": "866-702-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "TY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "27872",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AL",
            "license": "27872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.