Active NPI
Mini Thomas, M.D.
- Internal Medicine Physician
- Lauderhill, FL
National Provider Identifier
1184684656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME93323
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME93323 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asha Wellness LLC | Current | Accepting new patients | |
| Progressive Medical Center | Internal Medicine | Current | Accepting new patients |
| Tamarac Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Clifford Fruithandler DC PA | Past | Accepting new patients |
Locations
8287 NW 88th Ave
Tamarac, FL 33321
Phone (954) 722-6637
Interoperability endpoints
- mthomas@asha.adaptamed.direct-ci.com
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.