Individual provider Active NPI

Thomas D. Loomis, MD

  • Family Medicine Physician
  • Harbor Springs, MI
National Provider Identifier
1376501163
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301072484 Issued in MI
Practice address
8881 M-119
Harbor Springs, MI 49740
Phone
(231) 347-5400
Fax
(231) 348-2515
NPI assigned
May 2, 2006
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301072484 MI Primary

Addresses

Primary practice location

8881 M-119
Harbor Springs, MI 49740

Mailing address

8881 M 119
Harbor Springs, MI 49740-9479
Phone (231) 347-5400

Other identifiers 4

IdentifierTypeStateIssuer
412087610MedicaidMI
P95194OtherMIBLUE CARE NETWORK
081B410330OtherMIBCBS GROUP BILL #
0802400892OtherMIBCBS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000476 MI Practitioner - Family Practice 5395728927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Art of Medicine Personalized PLLCGroup PAC ID 4486040003, 2 clinicians

Practice addresses (Care Compare)

405 N Division Rd
Suite 4
Petoskey, MI 49770-9046
Phone (231) 373-8806

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072484MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Medicine Personalized PLLC Family Medicine CurrentSince Aug 12, 2021 Accepting new patients
University Health System Inc Past Accepting new patients

Locations

405 N Division Rd
Ste 4
Petoskey, MI 49770
Phone (231) 373-8806

Interoperability endpoints

  • Direct secure messaging: thomas.loomis.1@16633.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1376501163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409479",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 M-119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "49740",
            "telephone_number": "231-347-5400",
            "fax_number": "231-348-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "THOMAS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412087610",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P95194",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP BILL #",
            "identifier": "081B410330",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0802400892",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor Springs, MI

Sources for this page

Verify at the official NPI Registry.