Individual provider Active NPI

Rahul Balan Thomas, M.D.

  • Interventional Cardiology Physician
  • Wesley Chapel, FL
National Provider Identifier
1447540471
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME148405 Issued in FL
Practice address
2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9213
Phone
(813) 788-1400
NPI assigned
Apr 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X ME148405 FL Primary

Addresses

Primary practice location

2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9213

Mailing address

PO Box 2709
Zephyrhills, FL 33539-2709
Phone (813) 788-1400

Other practice location 1

5201 Harry Hines Blvd
Graduate Medical Education
Dallas, TX 75235-7708
Phone (214) 590-8058

Other practice location 2

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (855) 429-7633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171005002610 OH Practitioner - HospitalistPractitioner - Internal Medicine 9032484746 Reassigns benefits to 3 organizations
I20210407000295 FL Practitioner - Interventional Cardiology 9032484746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Texas Southwestern Medical School at Dallas, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Heart and Vascular Center PAGroup PAC ID 0648288225, 11 clinicians

Practice addresses (Care Compare)

38035 Medical Ctr Ave
Zephyrhills, FL 33540-1384
Phone (813) 788-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148405FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation CurrentSince Sep 2, 2017 Accepting new patients
Premier Heart and Vascular Center, PA Cardiovascular Disease CurrentSince Apr 1, 2021 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Sep 30, 2017 Accepting new patients
Community Hospitalist, LLC CurrentSince Sep 30, 2017 Accepting new patients
PHVC Ekg LLC Interventional Cardiology PastSince Apr 6, 2021 Accepting new patients

Locations

1470 N Florida Ave
Ste 110
Lakeland, FL 33805

1470 N Florida Ave
Lakeland, FL 33805
Phone (863) 858-6666

3675 Innovation Dr
Lakeland, FL 33812

2477 Bruce B Downs Blvd
Wesley Chapel, FL 33544

38035 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-1234

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1447540471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2709",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335392709",
            "telephone_number": "813-788-1400",
            "fax_number": "813-788-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 BRUCE B DOWNS BLVD",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449213",
            "telephone_number": "813-788-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Harry Hines Blvd",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357708",
            "country_code": "US",
            "telephone_number": "214-590-8058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Canterbury Dr",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "855-429-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RAHUL",
        "middle_name": "BALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME148405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.