Koithara Varkey Thomas, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

200300295 Issued in NC

Practice address

Eastern Nephrology Associates
277 Memorial Drive
Jacksonville, NC 28546-6333

Phone

(910) 346-2263

Fax

(910) 353-0549

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita New River Dialysis Dialysis facility, Jacksonville, NC, CCN 342700
• DaVita Goldsboro Dialysis Dialysis facility, Goldsboro, NC, CCN 342531
• FMC Rai Care Centers Goldsboro Dialysis facility, Goldsboro, NC, CCN 342576
• DaVita Rosewood Dialysis Dialysis facility, Goldsboro, NC, CCN 342752
• DaVita SEDC Jacksonville Dialysis Center Dialysis facility, Jacksonville, NC, CCN 342532
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kthomas22353@direct.acumenmd.com
• Direct secure messaging: gthomas221445@direct.unc.nchie.net

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.

• Eastern Nephrology Associates PLLC

  • Nephrology Physician
  • Greenville, NC
  • NPI 1417083783
  Medicare reassignment Care Compare group NPD

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

• Dva Renal Healthcare Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1689633315

  Dialysis facility

  Care Compare affiliation Name & address match
• Rai Care Centers of North Carolina II, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1962411405

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers Mid Atlantic Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Goldsboro, NC
  • NPI 1174086698

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care of North Carolina LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jacksonville, NC
  • NPI 1912307596

  Dialysis facility

  Care Compare affiliation Name & address match
• Lenoir Memorial Hospital, Incorporated

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation
• Onslow Memorial Hospital Inc

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation
• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1265474209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MEMORIAL DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-343-9800",
            "fax_number": "910-343-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTERN NEPHROLOGY ASSOCIATES",
            "address_2": "277 MEMORIAL DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-346-2263",
            "fax_number": "910-353-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Office Park Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285463217",
            "country_code": "US",
            "telephone_number": "910-346-2263",
            "fax_number": "910-353-0549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KOITHARA VARKEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-10-01",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200300295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "1587680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134WE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS-NC INDIVIDUAL #",
            "identifier": "134WE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Ann Thibault, LMFT
• Erin Smith Thoma, D.O.
• Amaya Thomann
• Thomas E & Kimberly M Morgan DDS PA
• Thomas J Rojy Jr MD PA
• Madeleine Thomas, DPT, PT
• Mary Parker Thomas
• Brienna Lyn Thompson, LCSW
• Carrie Anne Thompson, RBT
• Ellen Thompson

• Nephrology Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.