Active NPI
Bobby Thomas, MD
- Internal Medicine Physician
- Burnsville, MN
National Provider Identifier
1447748322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 76773
- Practice address
- 303 E Nicollet Blvd Ste 160
Burnsville, MN 55337-4588 - Phone
- (952) 460-4000
- Fax
- (702) 671-2376
- NPI assigned
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 21293 | NV | |
| Internal Medicine Physician | 207R00000X | 76773 | MN | Primary |
Addresses
Primary practice location
303 E Nicollet Blvd Ste 160
Burnsville, MN 55337-4588
Mailing address
303 E Nicollet Blvd Ste 160
Burnsville, MN 55337-4588
Phone (952) 460-4000
Other practice location 1
1701 W Charleston Blvd Ste 230
Las Vegas, NV 89102-2312
Phone (702) 671-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221003002562 | NV | Practitioner - Internal Medicine | 9537418983 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Nevada School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Reliant Physicians Kumar PLLC
Practice addresses (Care Compare)
2865 Siena Heights Dr
Suite 140
Henderson, NV 89052-4168
Phone (702) 202-0534
6090 S Fort Apache Rd
Suite 140
Las Vegas, NV 89148-5618
Phone (702) 202-0534
Hospital & facility affiliations
- Saint Rose Dominican Hospitals - Siena Campus
- Mountainview Hospital
- M Health Fairview Ridges Hospital
- Sunset Ridge Post Acute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76773 | MN | MD | Internal Medicine Physician |
| 21293 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Unlv Medicine | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- bthomas915561@fairview.direct-ci.com
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1447748322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD STE 160",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374588",
"telephone_number": "952-460-4000",
"fax_number": "702-671-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E NICOLLET BLVD STE 160",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553374588",
"telephone_number": "952-460-4000",
"fax_number": "702-671-2376"
}
],
"practiceLocations": [
{
"address_1": "1701 W Charleston Blvd Ste 230",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022312",
"country_code": "US",
"telephone_number": "702-671-2345",
"fax_number": "702-671-2376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BOBBY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "21293",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "76773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.