Individual provider Active NPI

Thomas Lee Stratton, MD

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1316063613
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01066257A Issued in IN
Practice address
25 W Division St
Evansville, IN 47710-1374
Phone
(812) 436-0205
Fax
(812) 436-0207
NPI assigned
Mar 21, 2007
Last updated
Jan 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01066257A IN Primary

Addresses

Primary practice location

25 W Division St
Evansville, IN 47710-1374

Mailing address

315 Mulberry St
Evansville, IN 47713-1252
Phone (812) 421-7489

Other identifiers 3

IdentifierTypeStateIssuer
200079040GMedicaidIN
200958750MedicaidIN
000000660238OtherINANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tstratton56133@direct.deaconess.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20091019000312 IN Practitioner - Family Practice 6800933193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Louisville School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Echo Community Health Care IncGroup PAC ID 4981515145, 18 clinicians

Practice addresses (Care Compare)

25 W Division St
Evansville, IN 47710-1374
Phone (812) 436-0205

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01066257AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Echo Community Health Care, Inc CurrentSince Sep 1, 2011 Accepting new patients
Echo Community Health Care, Inc. CurrentSince Sep 1, 2011 Accepting new patients
Echo Community Health Care, Inc. Current Accepting new patients

Locations

25 W Division St
Evansville, IN 47710
Phone (812) 436-0205

315 Mulberry St
Evansville, IN 47713
Phone (812) 421-7489

401 John St
Evansville, IN 47713
Phone (812) 436-0224

Interoperability endpoints

  • Direct secure messaging: tstratton56133@direct.deaconess.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1316063613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MULBERRY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131252",
            "telephone_number": "812-421-7489",
            "fax_number": "812-421-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W DIVISION ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101374",
            "telephone_number": "812-436-0205",
            "fax_number": "812-436-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATTON",
        "first_name": "THOMAS",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01066257A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200079040G",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200958750",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000660238",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tstratton56133@direct.deaconess.com",
            "affiliation": "N",
            "endpointDescription": "ECHO Community Healtcare, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25 W Division St",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477101374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.