Individual provider Active NPI

Thomas M. Doud, M.D.

  • Diagnostic Radiology Physician
  • Seneca, SC
National Provider Identifier
1366408809
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
13603 Issued in SC
Practice address
1059 By Pass 123
Seneca, SC 29678-4762
Phone
(864) 885-0551
Fax
(864) 885-1822
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 13603 SC Primary
Diagnostic Radiology Physician 2085R0202X 9300387 NC
Diagnostic Radiology Physician 2085R0202X 053458 GA
Diagnostic Radiology Physician 2085R0202X H3562 TX

Addresses

Primary practice location

1059 By Pass 123
Seneca, SC 29678-4762

Mailing address

1059 By Pass 123
Seneca, SC 29678-4762
Phone (864) 885-0551

Other identifiers 1

IdentifierTypeStateIssuer
GP2588MedicaidSC

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
053458GAMDDiagnostic Radiology Physician
9300387NCMDDiagnostic Radiology Physician
13603SCMDDiagnostic Radiology Physician
H3562TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mobile Ultrasound, LLC Past Accepting new patients
American Diagnostics Services LLC Diagnostic Radiology Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366408809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 BY PASS 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784762",
            "telephone_number": "864-885-0551",
            "fax_number": "864-885-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 BY PASS 123",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296784762",
            "telephone_number": "864-885-0551",
            "fax_number": "864-885-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUD",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "13603",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9300387",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "053458",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H3562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2588",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.