Thomas K Thomas, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301040256 Issued in MI

Practice address

22480 Kelly Rd
Suite 2
Eastpointe, MI 48021-2623

Phone

(586) 776-3340

Fax

(586) 778-6460

NPI assigned

Oct 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• T.K Thomas MD PC

  • Family Medicine Physician
  • Eastpointe, MI
  • NPI 1083606677
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1376732073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 MOORLAND DR",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361129",
            "telephone_number": "586-776-3340",
            "fax_number": "586-778-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "address_2": "SUITE 2",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-776-3340",
            "fax_number": "586-778-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "THOMAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301040256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361698",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MICHIGAN",
            "identifier": "71020001500026",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Tag Team Project
• Theramatrix, Inc.
• Thomas E. Jacob, D.P.M., P.C.
• Jazzmene Thomas
• Stacy R Thomas
• Edward Thompson
• Tanika Thompson
• Meagan Lindsey Thon, M.A CFY-SLP
• Tammy Tocco
• Peter Michael Torrice, DPM PC

• Family Medicine Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.

Verify at the official NPI Registry.