Madaelil George Thomas, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

05592R Issued in LA

Practice address

1150 Robert Blvd
Suite 340
Slidell, LA 70458-2004

Phone

(985) 649-2883

Fax

(985) 649-2953

NPI assigned

May 24, 2005

Reactivated

Mar 23, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Cardiovascular Disease (Cardiology)

Education

Tulane University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Community Hospital Hospital, Picayune, MS, CCN 250117
• Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

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.

• Capital City Medical Group, L.L.C.

  dba Primary Care Plus

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1144522855

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Northlake Cardiology Diagnostics LLC

  • Specialist
  • Slidell, LA
  • NPI 1568764124
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• Slidell Memorial Hospital

  • General Acute Care Hospital
  • Slidell, LA
  • NPI 1578568481
  Care Compare affiliation
• Forrest County General Hospital

  dba Highland Community Hospital

  • General Acute Care Hospital
  • Picayune, MS
  • NPI 1053350462
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1417950346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD",
            "address_2": "SUITE 340",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582004",
            "telephone_number": "985-649-2883",
            "fax_number": "985-649-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD",
            "address_2": "SUITE 340",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582004",
            "telephone_number": "985-649-2883",
            "fax_number": "985-649-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MADAELIL",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-04-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "05592R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ignatius Thomas, MD
• Jennifer Michelle Thomas, PA-C
• Julia Feldstone Thomas, PT, MPT
• Loraine Thomas
• Lorchid Thomas
• Ashley Smith Thompson
• Charlotte Vowell Thompson
• Madison Thompson
• Jazia Thorn
• Lynette Thornton

• Specialist in Slidell, LA
• Providers in Slidell, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.