Active NPI
Reena Elsa Thomas
- Pediatrics Physician
- Newark, DE
National Provider Identifier
1326493198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C1-0013178
- Practice address
- 4745 Ogletown Stanton Rd Ste 116
Newark, DE 19713 - Phone
- (804) 495-5842
- NPI assigned
- Apr 29, 2016
- Last updated
- Jun 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | C1-0013178 | DE | Primary |
Addresses
Primary practice location
4745 Ogletown Stanton Rd Ste 116
Newark, DE 19713
Mailing address
10405 Flat Branch Dr
Richmond, VA 23233-5829
Phone (804) 495-5842
Other practice location 1
1250 E. Marshall St.
980264
Richmond, VA 23298
Phone (804) 828-9955
Other practice location 2
1250 E. Marshall St.
980264
Richmond, VA 23298
Phone (804) 828-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0013178 | DE | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- rthomas128415@direct.nemours.org
Organizations & group practices 1
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.
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1326493198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10405 FLAT BRANCH DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232335829",
"telephone_number": "804-495-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD STE 116",
"city": "NEWARK",
"state": "DE",
"postal_code": "19713",
"telephone_number": "804-495-5842"
}
],
"practiceLocations": [
{
"address_1": "1250 E. Marshall St.",
"address_2": "980264",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23298",
"country_code": "US",
"telephone_number": "804-828-9955",
"fax_number": "804-828-5775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E. Marshall St.",
"address_2": "980264",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "23298",
"country_code": "US",
"telephone_number": "804-828-9955",
"fax_number": "804-828-5775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "REENA",
"middle_name": "ELSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-29",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0013178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.