Individual provider Active NPI

Casey J Thomas, D.O.

  • Surgical Critical Care Physician
  • Las Vegas, NV
National Provider Identifier
1316956212
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
DO1908 Issued in NV
Practice address
1707 W Charleston Blvd
#160
Las Vegas, NV 89102-2351
Phone
(702) 671-5150
Fax
(702) 384-6493
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101014713 MI
Surgical Critical Care Physician 2086S0102X DO1908 NV Primary

Addresses

Primary practice location

1707 W Charleston Blvd
#160
Las Vegas, NV 89102-2351

Mailing address

1701 W Charleston Blvd
#215
Las Vegas, NV 89102-2325
Phone (702) 671-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20061110000110 MI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8820096662 Reassigns benefits to 1 organization
I20230324000286 AZ Practitioner - General Surgery 8820096662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgicalist of Az PLLCGroup PAC ID 2264796531, 6 clinicians
Alif Group PLLCGroup PAC ID 1153807011, 2 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 204
Goodyear, AZ 85395-2626
Phone (613) 512-4326

13555 W McDowell Rd
Suite 2103
Goodyear, AZ 85395-2624
Phone (623) 292-2250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO1908NVMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Treatment Centers of NV Current Accepting new patients
Surgicalist of Az PLLC Surgery CurrentSince Apr 1, 2023 Accepting new patients
Alif Group PLLC CurrentSince Nov 1, 2025 Accepting new patients
Henry Ford Health System Surgery CurrentSince Oct 18, 2015 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince Oct 18, 2015 Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients

Locations

13555 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (613) 512-4326

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

13555 W McDowell Rd
Ste 203
Goodyear, AZ 85395
Phone (623) 512-4190

13555 W McDowell Rd
Ste 2103
Goodyear, AZ 85395
Phone (623) 292-2250

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

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 1

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1316956212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD",
            "address_2": "#215",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022325",
            "telephone_number": "702-671-2395",
            "fax_number": "702-382-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W CHARLESTON BLVD",
            "address_2": "#160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022351",
            "telephone_number": "702-671-5150",
            "fax_number": "702-384-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CASEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101014713",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NV",
            "license": "DO1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.