Individual provider Active NPI

Mini Thomas, M.D.

  • Internal Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1184684656
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93323 Issued in FL
Practice address
5440 N University Dr
Lauderhill, FL 33351-5005
Phone
(954) 747-9897
Fax
(954) 747-9879
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93323 FL Primary

Addresses

Primary practice location

5440 N University Dr
Lauderhill, FL 33351-5005

Mailing address

6530 SW 56TH St
Davie, FL 33314-7102
Phone (954) 729-7976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000265 FL Practitioner - Internal Medicine 3173548245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7710 NW 71St CT
Suite 302
Tamarac, FL 33321-2932
Phone (954) 722-6637

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME93323FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asha Wellness LLC CurrentSince Jul 24, 2022 Accepting new patients
Progressive Medical Center Internal Medicine CurrentSince Nov 17, 2006 Accepting new patients
Tamarac Physicians Group Inc Internal Medicine CurrentSince Sep 19, 2005 Accepting new patients
Clifford Fruithandler DC PA PastSince Nov 17, 2006 Accepting new patients

Locations

8287 NW 88th Ave
Tamarac, FL 33321
Phone (954) 722-6637

Interoperability endpoints

  • Direct secure messaging: mthomas@asha.adaptamed.direct-ci.com
  • Direct secure messaging: mini.thomas.1@33322.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1184684656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 SW 56TH ST",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333147102",
            "telephone_number": "954-729-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 N UNIVERSITY DR",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333515005",
            "telephone_number": "954-747-9897",
            "fax_number": "954-747-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

Verify at the official NPI Registry.