Individual provider Active NPI

Ruth M Thomas, PA-C

  • Medical Physician Assistant
  • Rosebud, SD
National Provider Identifier
1356375992
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0000000054 Issued in TN
Practice address
Soldier Creek Road,Box 400
Rosebud Indian Health Service Hospital
Rosebud, SD 57570-0400
Phone
(605) 747-2231
Fax
(605) 747-2216
NPI assigned
Jul 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1014617
Medical Physician Assistant 363AM0700X PA0000000054 TN Primary

Addresses

Primary practice location

Soldier Creek Road,Box 400
Rosebud Indian Health Service Hospital
Rosebud, SD 57570-0400

Mailing address

PO Box 727
Rosebud, SD 57570-0727
Phone (605) 747-2231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000884 TX Practitioner - Physician Assistant 0648304253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0000000054TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rosebud Indian Health Service CurrentSince Jul 1, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356375992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700727",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOLDIER CREEK ROAD,BOX 400",
            "address_2": "ROSEBUD INDIAN HEALTH SERVICE HOSPITAL",
            "city": "ROSEBUD",
            "state": "SD",
            "postal_code": "575700400",
            "telephone_number": "605-747-2231",
            "fax_number": "605-747-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RUTH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "1014617",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosebud, SD

Sources for this page

Verify at the official NPI Registry.