Individual provider Active NPI

Thomas Allen Pietras, M.D.

  • Dermatology Physician
  • Cedar Rapids, IA
National Provider Identifier
1306071915
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
39449 Issued in IA
Practice address
202 10TH St SE Ste 270
Cedar Rapids, IA 52403-2420
Phone
(319) 294-4319
Fax
(319) 294-4298
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 39449 IA Primary

Addresses

Primary practice location

202 10TH St SE Ste 270
Cedar Rapids, IA 52403-2420

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2590 6th Ave Ste 103
Marion, IA 52302-4339
Phone (319) 249-6422

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Thomas.Pietras@forefrontdermatology.emadirect.md
Direct Messaging Address Thomas.Pietras@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120511000061 IA Practitioner - Dermatology 9931361821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Suite 270
Cedar Rapids, IA 52403-2420
Phone (319) 294-4319

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of skin lesions1104
Removal of nail tissue1-10
Removal or shaving of skin growth34
Skin biopsy327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39449IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 5, 2013 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 5, 2013 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

855 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 366-2013

855 A Ave NE
Ste 120
Cedar Rapids, IA 52402
Phone (319) 297-9350

202 10th St SE
Ste 270
Cedar Rapids, IA 52403
Phone (319) 294-4319

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: tpietras168446@direct.unitypoint.org

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.

Hospital & facility affiliations 2

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1306071915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 270",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032420",
            "telephone_number": "319-294-4319",
            "fax_number": "319-294-4298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 6th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IA",
            "postal_code": "523024339",
            "country_code": "US",
            "telephone_number": "319-249-6422",
            "fax_number": "319-249-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRAS",
        "first_name": "THOMAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "39449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.Pietras@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "202 10th St SE Ste 270",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524032420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Thomas.Pietras@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2590 6th Ave Ste 103",
            "city": "Marion",
            "state": "IA",
            "country_code": "US",
            "postal_code": "523024339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.