Individual provider Active NPI

Nini C Thomas, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • West Lafayette, IN
National Provider Identifier
1437200557
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
01082807A Issued in IN
Practice address
3315 Humboldt St
West Lafayette, IN 47906-7204
Phone
(412) 260-1748
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 14166-320 WI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 01082807A IN Primary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD429968 PA

Addresses

Primary practice location

3315 Humboldt St
West Lafayette, IN 47906-7204

Mailing address

3315 Humboldt St
West Lafayette, IN 47906-7204
Phone (412) 260-1748

Other practice location 1

1850 E Park Ave
Ste 312
State College, PA 16803-6706
Phone (814) 689-3156

Other practice location 2

704 S Webster Ave Ste 501
Green Bay, WI 54301-3528
Phone (920) 433-6050

Other practice location 3

1850 E Park Ave
Ste 312
State College, PA 16803-6706
Phone (814) 689-3156

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nthomas480176@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20251111001001 WI Practitioner - Endocrinology 9436150968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-6025

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082807AINMDEndocrinology, Diabetes & Metabolism Physician
MD429968PAMDEndocrinology, Diabetes & Metabolism Physician
14166-320WIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Endocrinology, Diabetes & Metabolism CurrentSince Oct 30, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 30, 2025 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Oct 30, 2025 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Oct 30, 2025 Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

704 S Webster Ave
Ste 501
Green Bay, WI 54301
Phone (920) 433-6050

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: nthomas84654@direct.geisinger.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1437200557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HUMBOLDT ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479067204",
            "telephone_number": "412-260-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HUMBOLDT ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479067204",
            "telephone_number": "412-260-1748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 E Park Ave",
            "address_2": "Ste 312",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-689-3156",
            "fax_number": "814-689-1954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 S Webster Ave Ste 501",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013528",
            "country_code": "US",
            "telephone_number": "920-433-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 E Park Ave",
            "address_2": "Ste 312",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036706",
            "country_code": "US",
            "telephone_number": "814-689-3156",
            "fax_number": "814-689-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NINI",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "WI",
            "license": "14166-320",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "01082807A",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD429968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nthomas480176@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3920 St Francis Way Ste 220",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.