Active NPI
Adeleke A Thomas, MD
- Internal Medicine Physician
- Springfield, MA
National Provider Identifier
1225087638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 78734
- Practice address
- 271 Carew St
Springfield, MA 01104 - Phone
- (413) 748-9321
- Fax
- (413) 452-6080
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 | 78734 | MA | Primary |
Addresses
Primary practice location
271 Carew St
Springfield, MA 01104
Mailing address
PO Box 686
Wilbraham, MA 01095-0686
Phone (508) 595-0531
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01927068 | Medicaid | NY | |
| 3121178 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78734 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| The Mercy Hospital Inc | Past | Accepting new patients | |
| Saint Francis Behavioral Health Group, P.C. | Past | Accepting new patients | |
| Diversified Community Services | Past | Accepting new patients |
Locations
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Advanced Practice Midwife
- Holyoke, MA
- NPI 1871578880
-
- Psychiatric Hospital
- Holyoke, MA
- NPI 1629062906
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hartford, CT
- NPI 1801834890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1225087638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010950686",
"telephone_number": "508-595-0531",
"fax_number": "508-829-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01104",
"telephone_number": "413-748-9321",
"fax_number": "413-452-6080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ADELEKE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "78734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01927068",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3121178",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.