Individual provider Active NPI

Thomas R Radice, M.D.

  • Emergency Medicine Physician
  • Parker, AZ
National Provider Identifier
1356327613
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01049054A Issued in IN
Practice address
12033 Agency Rd
Parker, AZ 85344-7718
Phone
(928) 669-2137
Fax
(928) 669-3131
NPI assigned
Dec 19, 2005
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01049054A IN Primary
Family Medicine Physician 207Q00000X 01049054A IN
Hospitalist Physician 208M00000X 01049054A IN

Addresses

Primary practice location

12033 Agency Rd
Parker, AZ 85344-7718

Mailing address

PO Box 72
Corydon, IN 47112-0072
Phone (270) 798-8500

Other practice location 1

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone (270) 798-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA, TX, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040331000639 IN Practitioner - Emergency MedicinePractitioner - Family Practice 6204828288 Reassigns benefits to 6 organizations
I20160907001208 GA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6204828288 Reassigns benefits to 2 organizations
I20250717000647 TX Practitioner - Emergency Medicine 6204828288 Reassigns benefits to 3 organizations
I20251112003339 IL Practitioner - Emergency Medicine 6204828288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 0244405629, 54 clinicians

Practice addresses (Care Compare)

12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Nov 26, 2017 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Sep 19, 2012 Accepting new patients
Schuyler County Hospital District CurrentSince Aug 16, 2025 Accepting new patients
Daviess County Hospital Current Accepting new patients
DHHS IHS Phoenix CurrentSince Jun 1, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince Aug 16, 2025 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Baldwin Emergency Group, LLC Emergency Medicine CurrentSince Jul 10, 2016 Accepting new patients
Daviess County Hospital CurrentSince May 1, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jun 1, 2025 Accepting new patients
Daviess County Hospital CurrentSince May 1, 2021 Accepting new patients
Great Lakes Emergency Physicians, PLLC Emergency Medicine CurrentSince Apr 15, 2020 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Nov 26, 2017 Accepting new patients
Mid West Hospital Physicians, PLLC Hospitalist CurrentSince Apr 15, 2020 Accepting new patients
Clarksville Physician Services PC Family Medicine CurrentSince Sep 29, 2022 Accepting new patients
Irene Benn Medical Center CurrentSince Jun 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jun 1, 2025 Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine CurrentSince Jul 11, 2015 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Clark Emergenc Y Group, LLC Emergency Medicine Past Accepting new patients
Indiana University Health Paoli Inc Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Doctor Contract Services, LLC Emergency Medicine Past Accepting new patients
St. Vincent Health Wellness and Preventive Care Institute, Inc. Past Accepting new patients
Honeywell Emergency Physicians Emergency Medicine Past Accepting new patients
Gardner Street Emergency Physicians Emergency Medicine Past Accepting new patients
Emergency Medicine of Indiana Emergency Medicine Past Accepting new patients

Locations

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

7219 Solutions Ctr
Chicago, IL 60677

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 27

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.

View all 27

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1356327613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120072",
            "telephone_number": "270-798-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 AGENCY RD",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853447718",
            "telephone_number": "928-669-2137",
            "fax_number": "928-669-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Joel Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Campbell",
            "state": "KY",
            "postal_code": "422235318",
            "country_code": "US",
            "telephone_number": "270-798-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADICE",
        "first_name": "THOMAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01049054A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049054A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01049054A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

Verify at the official NPI Registry.