Active NPI
Heidi Sult Thomas, MD
- Internal Medicine Physician
- Salem, OR
National Provider Identifier
1356342091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD13511
- Practice address
- 1275 Wallace Rd NW
Salem, OR 97304-3007 - Phone
- (503) 371-3232
- Fax
- (503) 375-2398
- NPI assigned
- Aug 3, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD13511 | OR | Primary |
Addresses
Primary practice location
1275 Wallace Rd NW
Salem, OR 97304-3007
Mailing address
1275 Wallace Rd NW
Salem, OR 97304-3007
Phone (503) 371-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286761 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Oregon Health Sciences University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 Wallace Rd NW
Salem, OR 97304-3007
Phone (503) 371-3232
Hospital & facility affiliations
- Assured Home Health
- Salem Hospital
- Salem Health West Valley
- Willamette Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- heidi.thomas.wsfpa@direct.wvp.nextgenshare.com
- heidi.thomas.1@17725.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Salem, OR
- NPI 1003817826
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Home Health Agency
- Salem, OR
- NPI 1730401217
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1356342091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 WALLACE RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043007",
"telephone_number": "503-371-3232",
"fax_number": "503-375-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 WALLACE RD NW",
"city": "SALEM",
"state": "OR",
"postal_code": "973043007",
"telephone_number": "503-371-3232",
"fax_number": "503-375-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "HEIDI",
"middle_name": "SULT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-03",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD13511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286761",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.