Individual provider Active NPI

Thomas Deverell Bianchi, M.D.

  • Gastroenterology Physician
  • Tallassee, AL
National Provider Identifier
1306818232
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
8344 Issued in AL
Practice address
80 Herren Hill Rd
Suite E
Tallassee, AL 36078-1263
Phone
(334) 283-3862
NPI assigned
Feb 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8344 AL
Gastroenterology Physician 207RG0100X 8344 AL Primary

Addresses

Primary practice location

80 Herren Hill Rd
Suite E
Tallassee, AL 36078-1263

Mailing address

80 Herren Hill Rd
Suite E
Tallassee, AL 36078-1263
Phone (334) 283-3862

Other identifiers 2

IdentifierTypeStateIssuer
51509833OtherALBLUE CROSS OF ALABAMA
529912510MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110706000318 AL Practitioner - GastroenterologyPractitioner - Internal Medicine 8224216635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospital IncGroup PAC ID 2062408487, 15 clinicians

Practice addresses (Care Compare)

80 Herren Hill Rd
Suite E
Tallassee, AL 36078-1263
Phone (334) 283-3862

80 Herren Hill Rd E
Tallassee, AL 36078-1263

805 Friendship Rd
Tallassee, AL 36078-1225

805 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-6541

875 Friendship Rd
Tallassee, AL 36078-1234
Phone (334) 283-3111

Hospital & facility affiliations

  • Community Hospital Inc Hospital, Tallassee, AL, CCN 010034
  • Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy216
Upper gastrointestinal (GI) endoscopy for acid reflux140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8344ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc CurrentSince Oct 1, 1985 Accepting new patients
Community Hospital Inc Internal Medicine Current Accepting new patients
Community Hospital Inc CurrentSince Oct 1, 1985 Accepting new patients
Thomas D Bianchi M.D.P.a. Gastroenterology CurrentSince Sep 3, 2002 Accepting new patients

Locations

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

80 Herren Hill Rd
Ste E
Tallassee, AL 36078
Phone (334) 283-3862

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17839/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.bianchi.1@17839.direct.athenahealth.com

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.

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1306818232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HERREN HILL RD",
            "address_2": "SUITE E",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781263",
            "telephone_number": "334-283-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HERREN HILL RD",
            "address_2": "SUITE E",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360781263",
            "telephone_number": "334-283-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHI",
        "first_name": "THOMAS",
        "middle_name": "DEVERELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "8344",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "8344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51509833",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529912510",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

Verify at the official NPI Registry.