Individual provider Active NPI

Joshua James Thom, MD

  • Otolaryngology Physician
  • Fridley, MN
National Provider Identifier
1144453242
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
53216 Issued in MN
Practice address
6401 University Ave NE
Fridley, MN 55432-4341
Phone
(763) 586-5923
Fax
(763) 392-5604
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 85990-20 WI
Otolaryngology Physician 207Y00000X 53216 MN Primary

Addresses

Primary practice location

6401 University Ave NE
Fridley, MN 55432-4341

Mailing address

6401 University Ave NE
Fridley, MN 55432-4341
Phone (763) 586-5923

Other practice location 1

14500 99th Ave N
Maple Grove, MN 55369-4730
Phone (763) 898-1410

Other practice location 2

216 S Adams St
Saint Croix Falls, WI 54024-9449
Phone (715) 483-0429

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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
I20101129001087 MN Practitioner - Otolaryngology 0547456857 Reassigns benefits to 7 organizations
I20250925002415 WI Practitioner - Otolaryngology 0547456857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Loyola University of Chicago, Stritch School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians

Practice addresses (Care Compare)

10961 Club W Pkwy
Blaine, MN 55449-5866
Phone (763) 572-5700

13819 Hanson Blvd NW
Andover, MN 55304-7608
Phone (763) 572-5700

14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (763) 525-1746

1700 University Ave W
Saint Paul, MN 55104-3727
Phone (855) 324-7843

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

500 Harvard St SE
Minneapolis, MN 55455-0363
Phone (612) 672-7422

6341 University Ave NE
Fridley, MN 55432-4946
Phone (763) 572-5700

6401 University Ave NE
FL 1
Fridley, MN 55432-4341
Phone (612) 626-5775

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85990-20WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast St. John's Hospital CurrentSince Aug 30, 2019 Accepting new patients
Fairview Health Services CurrentSince Jul 11, 2014 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Aug 30, 2019 Accepting new patients
St. Croix Regional Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Healtheast Care System CurrentSince Aug 30, 2019 Accepting new patients
Fairview Express Care CurrentSince Oct 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Mar 27, 2021 Accepting new patients
St. Croix Regional Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Fairview Bethesda Hospital CurrentSince Aug 30, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince Mar 27, 2021 Accepting new patients
Fairview Health Services CurrentSince Jul 11, 2014 Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

14500 99th Ave N
Maple Grove, MN 55369
Phone (763) 898-1000

6401 University Ave NE
Minneapolis, MN 55432
Phone (763) 572-5706

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

10961 Club West Pkwy
Minneapolis, MN 55449
Phone (763) 572-5700

6341 University Ave NE
Minneapolis, MN 55432
Phone (763) 427-9980

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Interoperability endpoints

  • Direct secure messaging: jthom321282@fairview.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1144453242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324341",
            "telephone_number": "763-586-5923",
            "fax_number": "763-392-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 UNIVERSITY AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324341",
            "telephone_number": "763-586-5923",
            "fax_number": "763-392-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14500 99th Ave N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694730",
            "country_code": "US",
            "telephone_number": "763-898-1410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Saint Croix Falls",
            "state": "WI",
            "postal_code": "540249449",
            "country_code": "US",
            "telephone_number": "715-483-0429",
            "fax_number": "715-483-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOM",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "85990-20",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "53216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.