Individual provider Active NPI

Gail Elizabeth Thomas, MD

  • Surgery Physician
  • Belleville, IL
National Provider Identifier
1275733016
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G071045 Issued in CA
Practice address
324 Hickory BND
Belleville, IL 62223-3474
Phone
(618) 604-9926
NPI assigned
Jul 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G071045 CA Primary
Surgical Oncology Physician 2086X0206X G071045 CA
Surgical Oncology Physician 2086X0206X 30439 SC
Surgical Oncology Physician 2086X0206X 256245 NY
Family Medicine Physician 207Q00000X G071045 CA

Addresses

Primary practice location

324 Hickory BND
Belleville, IL 62223-3474

Mailing address

324 Hickory BND
Belleville, IL 62223-3474

Other identifiers 1

IdentifierTypeStateIssuer
8157OtherSCMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140718000536 TX Practitioner - General SurgeryPractitioner - Family Practice 6507948254 Reassigns benefits to 2 organizations
I20150714000478 CA Practitioner - Family Practice 6507948254 Reassigns benefits to 2 organizations
I20211111001327 ME Practitioner - Family PracticePractitioner - General Surgery 6507948254 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71045CAMDPharmacist
G071045CAMDSurgical Oncology Physician
30439SCMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers Inc CurrentSince May 11, 2015 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince May 20, 2014 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Poarch Band of Creek Indians CurrentSince Jul 1, 2018 Accepting new patients
Community Medical Centers, Inc. CurrentSince May 11, 2015 Accepting new patients
Passamaquoddy Tribal Council CurrentSince Jul 29, 2021 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

301 N R St
Lompoc, CA 93436
Phone (805) 737-6400

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations & group practices 7

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1275733016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 HICKORY BND",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 HICKORY BND",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233474",
            "telephone_number": "618-604-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GAIL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G071045",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G071045",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "SC",
            "license": "30439",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "256245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G071045",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.