Active NPI
Evan Thomas, DO
- Plastic Surgery Physician
- Louisville, KY
National Provider Identifier
1245859875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 06178
- Practice address
- 550 S Jackson St
Louisville, KY 40202-1622 - Phone
- (502) 852-6880
- NPI assigned
- Apr 14, 2020
- Last updated
- May 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Plastic Surgery Physician | 208200000X | 06178 | KY | Primary |
Addresses
Primary practice location
550 S Jackson St
Louisville, KY 40202-1622
Mailing address
550 S Jackson St
Louisville, KY 40202-1622
Other practice location 1
833 Princeton Ave SW
Birmingham, AL 35211-1323
Phone (205) 783-3098
Other practice location 2
1161 21st Ave S
Nashville, TN 37232-0011
Phone (615) 343-6642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06178 | KY | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1245859875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021622",
"telephone_number": "502-852-6880"
}
],
"practiceLocations": [
{
"address_1": "833 Princeton Ave SW",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111323",
"country_code": "US",
"telephone_number": "205-783-3098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1161 21st Ave S",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320011",
"country_code": "US",
"telephone_number": "615-343-6642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "EVAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-14",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "KY",
"license": "06178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.