Active NPI
Thomas D Caruso, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Frederick, MD
National Provider Identifier
1144333972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- H0074948
- Practice address
- 1050 Key Pkwy
Suite 103
Frederick, MD 21702-4053 - Phone
- (240) 629-3939
- Fax
- (240) 629-3932
- NPI assigned
- Aug 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | DO23008 | OR | |
| Physical Medicine & Rehabilitation Physician | 208100000X | TC018927 | MI | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | H0074948 | MD | Primary |
Addresses
Primary practice location
1050 Key Pkwy
Suite 103
Frederick, MD 21702-4053
Mailing address
PO Box 2348
Germantown, MD 20875-2348
Phone (240) 629-3982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO23008 | OR | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| TC018927 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Services, LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Universal Health Group, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Frederick, MD
- NPI 1194961854
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Chiropractor
- West Bloomfield, MI
- NPI 1588832653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355961600000",
"number": "1144333972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2348",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208752348",
"telephone_number": "240-629-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 KEY PKWY",
"address_2": "SUITE 103",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024053",
"telephone_number": "240-629-3939",
"fax_number": "240-629-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "THOMAS",
"middle_name": "D",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2012-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "OR",
"license": "DO23008",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "TC018927",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "H0074948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.