NPIMap

Individual provider Active NPI

Thomas J Decaro, MD

  • Emergency Medicine Physician
  • Montgomery, AL
National Provider Identifier
1174561336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11369 Issued in AL
Practice address
2711 Lansdowne Dr
Montgomery, AL 36111-1711
Phone
(334) 265-0015
Fax
(334) 265-0015
NPI assigned
Jun 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11369 AL Primary

Addresses

Primary practice location

2711 Lansdowne Dr
Montgomery, AL 36111-1711

Mailing address

2711 Lansdowne Dr
Montgomery, AL 36111-1711
Phone (334) 265-0015

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 Medicine

State licenses

LicenseStateTypeSpecialty
26811NCMDAddiction (Substance Use Disorder) Counselor
11369ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willstown Emergency Physicians Emergency Medicine Past Accepting new patients
North Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Robertson Emergency Physicians Emergency Medicine Past Accepting new patients
Albert Rains Emergency Physicians Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Coastal Carolina Medical Center, Inc Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients
North Carolina Em I Medical Services P C Past Accepting new patients
Rmcca Clinic B, LLC Emergency Medicine Past Accepting new patients
Hilton Head Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients
Waterway Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Southern Living Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Stabler Clinic, P.C. Past Accepting new patients
Csra Emergency Physicians Emergency Medicine Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
E Jackson St Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Marlboro Emergency Group PC Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1605/brand/1/csg/26/fhir/r4

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174561336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 LANSDOWNE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361111711",
            "telephone_number": "334-265-0015",
            "fax_number": "334-265-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 LANSDOWNE DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361111711",
            "telephone_number": "334-265-0015",
            "fax_number": "334-265-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "11369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.