Individual provider Active NPI

David E Thomas, MD

  • Pediatric Pulmonology Physician
  • Baton Rouge, LA
National Provider Identifier
1205836558
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
019485 Issued in LA
Practice address
2355 Drusilla LN
Baton Rouge, LA 70809-1443
Phone
(225) 202-8026
Fax
(225) 231-1995
NPI assigned
Jul 28, 2005
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 019485 LA Primary

Addresses

Primary practice location

2355 Drusilla LN
Baton Rouge, LA 70809-1443

Mailing address

2355 Drusilla LN
Baton Rouge, LA 70809-1443
Phone (225) 202-8026

Other identifiers 1

IdentifierTypeStateIssuer
1569046MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20180129001390 WV Practitioner - Pediatric Medicine 4082514658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019485LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Dec 14, 2017 Accepting new patients
West Virginia University Medical Corporation CurrentSince Dec 14, 2017 Accepting new patients
Prescribed Pediatric Extended Care, Inc CurrentSince Mar 17, 2024 Accepting new patients
Professional Emergency Physician Associates, LLC Past Accepting new patients

Locations

2355 Drusilla Ln
Baton Rouge, LA 70809
Phone (225) 231-5880

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1205836558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091443",
            "telephone_number": "225-202-8026",
            "fax_number": "225-231-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DRUSILLA LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091443",
            "telephone_number": "225-202-8026",
            "fax_number": "225-231-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "LA",
            "license": "019485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1569046",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.