Individual provider Active NPI

Earlando Oliver Thomas, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1205880911
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
226721 Issued in NY
Practice address
2337 Ridgeway Ave
Rochester, NY 14626
Phone
(585) 225-6680
Fax
(585) 225-3472
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 226721 NY
Obstetrics & Gynecology Physician 207V00000X 226721 NY Primary

Addresses

Primary practice location

2337 Ridgeway Ave
Rochester, NY 14626

Mailing address

2337 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 225-6680

Other practice location 1

120 Erie Canal Dr
Suite 200
Rochester, NY 14626-4607
Phone (585) 225-6680

Other practice location 2

120 Erie Canal Dr
Suite 200
Rochester, NY 14626-4607
Phone (585) 225-6680

Other identifiers 2

IdentifierTypeStateIssuer
P00043558OtherNYRAILROAD MEDICARE
02425905MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ethomas33165@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20031209000500 NY Practitioner - Obstetrics/Gynecology 2567368723 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226721NYMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 20, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jan 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Nov 20, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2020 Accepting new patients
United Memorial Medical Center Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
United Memorial Medical Center Current Accepting new patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Nov 20, 2018 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

120 Erie Canal Dr
Ste 200
Rochester, NY 14626
Phone (585) 225-6680

220 Alexander St
Ste 602
Rochester, NY 14607
Phone (585) 922-8585

Organizations & group practices 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1205880911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264111",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Erie Canal Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264607",
            "country_code": "US",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Erie Canal Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264607",
            "country_code": "US",
            "telephone_number": "585-225-6680",
            "fax_number": "585-225-3472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "EARLANDO",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NY",
            "license": "226721",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "226721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00043558",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02425905",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ethomas33165@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "120 Erie Canal Dr",
            "address_2": "Suite 200",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.