Individual provider Active NPI

Thomas Gene Hooke, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bullhead City, AZ
National Provider Identifier
1154784023
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000929 Issued in AZ
Practice address
2500 Canyon Rd Ste 2
Bullhead City, AZ 86442-8624
Phone
(928) 444-1491
Fax
(928) 444-1330
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002634 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 000929 AZ Primary

Addresses

Primary practice location

2500 Canyon Rd Ste 2
Bullhead City, AZ 86442-8624

Mailing address

2500 Canyon Rd Ste 2
Bullhead City, AZ 86442-8624
Phone (928) 444-1491

Other practice location 1

2500 Canyon Rd Ste C3
Bullhead City, AZ 86442-8493
Phone (928) 444-1454

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address thomas.hooke.1@1575.direct.athenahealth.com
Direct Messaging Address thooke@directaddress.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001137 AZ Practitioner - Podiatry 8325331176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2500 Canyon Rd
BLDG C
Bullhead City, AZ 86442-8624
Phone (928) 704-7183

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue179
Removal of skin lesions20
Removal of nail tissue137
Removal or shaving of skin growth52
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000929AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp CurrentSince Jul 29, 2019 Accepting new patients
Bullhead City Clinic Corp CurrentSince Jul 29, 2019 Accepting new patients

Locations

2500 Canyon Rd
Bldg C
Bullhead City, AZ 86442
Phone (928) 444-1431

2500 Canyon Rd
Ste C3
Bullhead City, AZ 86442
Phone (928) 444-1329

2500 Canyon Rd
Ste C1
Bullhead City, AZ 86442
Phone (928) 444-1491

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

Interoperability endpoints

  • Direct secure messaging: thomas.hooke.1@1575.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1575/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154784023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-444-1491",
            "fax_number": "928-444-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428624",
            "telephone_number": "928-444-1491",
            "fax_number": "928-444-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Canyon Rd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428493",
            "country_code": "US",
            "telephone_number": "928-444-1454",
            "fax_number": "928-444-1481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOKE",
        "first_name": "THOMAS",
        "middle_name": "GENE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002634",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "000929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.hooke.1@1575.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2500 Canyon Rd Ste 2",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thooke@directaddress.org",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "2500 Canyon Rd Ste C3",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864428493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.