Persis Thomas, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10824600 Issued in NJ

Practice address

1162 New Britain Ave
West Hartford, CT 06110-2410

Phone

(860) 236-3084

Fax

(860) 561-5961

NPI assigned

May 29, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: persis.thomas.1@27673.direct.athenahealth.com

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.

• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679
  Medicare reassignment
• Collins Medical Associates 2 PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1912928169

  Pediatrics

  NPD (past)
• Hartford Healthcare Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1720140221
  NPD (past)
• New Jersey Pediatric and Adolescent Care, LLC

  • Primary Care Clinic/Center
  • Wayne, NJ
  • NPI 1912334434
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1316359045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WOODLAND ST FL 1",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051230",
            "telephone_number": "860-714-7362",
            "fax_number": "860-714-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 NEW BRITAIN AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102410",
            "telephone_number": "860-236-3084",
            "fax_number": "860-561-5961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Route 23 Ste 350",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074707538",
            "country_code": "US",
            "telephone_number": "973-521-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "481 Bantam Rd",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "CT",
            "postal_code": "067593202",
            "country_code": "US",
            "telephone_number": "860-567-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PERSIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "56651",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10824600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pthomas635059@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Collins Medical Associates 2 PC Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1162 New Britain Ave",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061102410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Ann Thomas, PH.D.
• Ellen Diane Thomas, MSW
• Galen Andrew Thomas, PT, DPT
• John Brainerd Thomas Jr., M.S.W.
• Michelle Thomas, LMSW
• Rhonda Bonito Thomas, OTA/L
• Sharon Thomason, PH.D.
• Ledia Thompson-Witter
• Brittany L Thompson
• Ida Thompson

• Pediatrics Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.