Richard D Thomas, MD
Individual provider Active NPI Orthopaedic Surgery of the Spine Physician · Tulsa, OK
NPI 1366410441 · NPPES record last updated Nov 1, 2007
Key facts
- NPI
- 1366410441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- 20842 (OK)
- Practice address
- 4802 S 109TH East Ave
Tulsa, OK 74146-5822 - Phone
- (918) 392-1400
- Fax
- (918) 392-1488
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Oklahoma College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ahs Oklahoma Physician Group LLC
Practice addresses (Care Compare)
8803 S 101St E Ave
Suite 130
Tulsa, OK 74133-5728
Phone (918) 574-0220
Hospital & facility affiliations
- Tulsa Spine & Specialty Hospital
- Hillcrest Hospital South
- Bailey Medical Center, LLC
- Hillcrest Hospital Pryor
- Stillwater Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 60 |
| Laminectomy or laminotomy (partial removal of spine bones) | 21 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Tulsa Spine Hospital LLC |
Hospital | Corporate Director | Jun 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100805000714 | OK | Practitioner - Orthopedic Surgery |
8527003730 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20842 | OK | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Current |
Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current |
Accepting new patients | |
| Tulsa Bone & Joint Associates PC | Orthopaedic Surgery of the Spine | Current |
Accepting new patients |
| Tulsa Spine & Specialty Hospital | Past | Accepting new patients | |
| Osu Health System Anesthesia | Past | Accepting new patients |
Locations
1501 N Florence Ave
Ste 350
Claremore, OK 74017
Phone (918) 301-3170
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
4802 S 109th East Ave
Tulsa, OK 74146
Phone (918) 392-1513
8803 S 101st East Ave
Ste 130
Tulsa, OK 74133
Phone (918) 459-0027
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- rthomas113451@ahs.direct-ci.com
- richard.thomas@tbja.gwaydirect.com
- https://epicproxy.ardenthealth.com/fhir/TSSH/api/FHIR/R4
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
- richard.thomas@direct.stjohnhealthsystem.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 20842 | OK | Yes |
Addresses
Primary practice location
4802 S 109TH East Ave
Tulsa, OK 74146-5822
Mailing address
4802 S 109TH E Ave
Tulsa, OK 74146
Phone (918) 392-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00041734 | Other | OK | RAILROAD MEDICARE |
Other providers in Tulsa, OK
- Melissa Annette Thomas
- Michael Leon Thomas
- Michelle E Thomas
- Mindy Thomas
- Pravin Thomas
- Ruby V Thomas
- Sailatha Padmanabhan Thomas
- Samuel Austin Thomas
- Saquida D Thomas
- Sarah Thomas
All providers in Tulsa, OK · Orthopaedic Surgery of the Spine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.