Nickitas Bernard-Aristides Thomarios, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49624 Issued in MN

Practice address

910 E 26TH St
Ste 410; Ms 40-410
Minneapolis, MN 55404-4526

Phone

(612) 813-7179

NPI assigned

Feb 17, 2007

Last updated

Oct 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Psychiatry

Education

University of Kansas School of Med (KC/Wich/Sal), 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Centracare Health System-NR LLCGroup PAC ID 3870739410, shared by 4 NPIs, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nthomarios1733@direct.centracare.com

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.

• Centracare Health System-NR LLC

  dba CentraCare Health - Monticello Hospital

  • Critical Access Hospital
  • Monticello, MN
  • NPI 1275872772
  Medicare reassignment NPD
• Centracare Health System-NR LLC

  dba CentraCare - Monticello Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Monticello, MN
  • NPI 1558600874
  Medicare reassignment NPD
• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Medicare reassignment NPD
• Centracare Health System-NR LLC

  dba CentraCare Health - Monticello Rehab Unit

  • Rehabilitation Hospital Unit
  • Monticello, MN
  • NPI 1821337148
  NPD
• St. Cloud Hospital

  • Rehabilitation Hospital Unit
  • Saint Cloud, MN
  • NPI 1619934627
  NPD

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1447394903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E 26TH ST",
            "address_2": "STE 410; MS 40-410",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044526",
            "telephone_number": "612-813-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 26TH ST",
            "address_2": "STE 410; MS 40-410",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044526",
            "telephone_number": "612-813-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMARIOS",
        "first_name": "NICKITAS",
        "middle_name": "BERNARD-ARISTIDES",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "18562",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "49624",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2012-00314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Marie Thole, OT
• Jillian Theresa Tholen, M.S., R.D.N., L.D.
• Richard H Tholen, MD
• Hailey Grace Thom
• Michael John Thomann
• Thomas Paul Carrillo PH.D.,L.P.P.a.
• Susan Thomas-McGregor, M.A., LMFT
• Brenda Michelle Thomas, RN
• Claudia Thomas, MD
• David Thomas, MD

• Psychiatry Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.