NPIMap

Individual provider Active NPI

Marc Andrew Thomas, MD

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1154392363
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01032588 Issued in IN
Practice address
7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone
(260) 432-1568
Fax
(260) 432-4969
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12035 NV
Diagnostic Radiology Physician 2085R0202X 01032588 IN Primary

Addresses

Primary practice location

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233

Mailing address

7221 Engle Rd Ste 220
Fort Wayne, IN 46804-2233
Phone (260) 432-1568

Other identifiers 3

IdentifierTypeStateIssuer
100318880MedicaidIN
0787377MedicaidOH
1154392363MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MI, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090202000199 NV Practitioner - Diagnostic Radiology 5294897468 Reassigns benefits to 4 organizations
I20090203000109 MI Practitioner - Diagnostic Radiology 5294897468 Reassigns benefits to 1 organization
I20091027000750 IN Practitioner - Diagnostic Radiology 5294897468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians
Greene County General HospitalGroup PAC ID 2961481544, shared by 10 NPIs, 102 clinicians
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians
Summit Radiology P CGroup PAC ID 0143295410, 101 clinicians
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians

Practice addresses (Care Compare)

1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

200 N Madison St
Marshall, MI 49068-1143

322 Karen Ave
Unit 3905
Las Vegas, NV 89109-0454
Phone (269) 781-4271

5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568

916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482

9901 Trailwood Dr
Apt 1020
Las Vegas, NV 89134-6680
Phone (269) 781-4271

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Memorial Hospital Current Accepting new patients
Greene County General Hospital Current Accepting new patients
Summit Radiology P C Diagnostic Radiology CurrentSince Jul 1, 1966 Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Nov 4, 2024 Accepting new patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
Imaging Diagnostic Center Limited Diagnostic Radiology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273

7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127

7900 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 426-6667

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824

Organizations & group practices 12

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.

Hospital & facility affiliations 8

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1154392363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 ENGLE RD STE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042233",
            "telephone_number": "260-432-1568",
            "fax_number": "260-432-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "12035",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01032588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100318880",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787377",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154392363",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.