Individual provider Active NPI

Dylan Thomas

  • Emergency Medicine Physician
  • Boardman, OH
National Provider Identifier
1235870700
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58.033017 Issued in OH
Practice address
8401 Market St
Boardman, OH 44512-6725
Phone
(330) 729-2929
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58.033017 OH Primary

Addresses

Primary practice location

8401 Market St
Boardman, OH 44512-6725

Mailing address

80 Washington Blvd Apt 4
Boardman, OH 44512-6346
Phone (330) 718-4256

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 746-7211

Other identifiers 3

IdentifierTypeStateIssuer
568946544OtherBCBS
236MedicaidOH
5874OtherHEALTH PARTNERS

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL securerecords.sanford.html

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250825004083 OH Practitioner - Emergency Medicine 2365822152 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mahoning Valley Emergency Specialists LLCGroup PAC ID 5698758993, 26 clinicians
Mves Austintown LLCGroup PAC ID 1355308875, 26 clinicians
4M Emergency Systems LLCGroup PAC ID 7719882182, 29 clinicians
Mves Boardman LLCGroup PAC ID 4688694722, 36 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (240) 686-2300

6252 Mahoning Ave
Austintown, OH 44515-2003
Phone (240) 686-2300

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

8401 Market St
Boardman, OH 44512-6725
Phone (240) 686-2300

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58.033017OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince May 8, 2025 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince May 8, 2025 Accepting new patients
Mahoning Valley Emergency Specialists LLC Emergency Medicine CurrentSince May 8, 2025 Accepting new patients
Mves Boardman LLC Emergency Medicine CurrentSince May 8, 2025 Accepting new patients
Mves Austintown LLC Emergency Medicine CurrentSince May 8, 2025 Accepting new patients
Mercy Health Youngstown LLC PastSince May 8, 2025 Accepting new patients

Locations

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418

Interoperability endpoints

  • Direct secure messaging: dthomas225101@direct.bsmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1235870700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON BLVD APT 4",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126346",
            "telephone_number": "330-718-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126725",
            "telephone_number": "330-729-2929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-746-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "58.033017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "8401 Market St",
            "city": "Boardman",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445126725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.