Individual provider Active NPI

Gary John Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Munster, IN
National Provider Identifier
1457420424
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000534A Issued in IN
Practice address
1650 45TH St Ste F
Munster, IN 46321-3960
Phone
(219) 923-1254
Fax
(708) 894-7176
NPI assigned
Nov 6, 2006
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07000534A IN Primary

Addresses

Primary practice location

1650 45TH St Ste F
Munster, IN 46321-3960

Mailing address

1650 45TH St Ste F
Munster, IN 46321-3960
Phone (219) 923-1254

Other practice location 1

9007 Indianapolis Blvd
Suite B
Highland, IN 46322-2575
Phone (219) 923-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100923000071 IN Practitioner - Podiatry 6800912221 Reassigns benefits to 1 organization
I20110113000741 IL Practitioner - Podiatry 6800912221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1650 45TH St
Munster, IN 46321-3962
Phone (219) 923-1254

17728 Oak Park Ave
Suite a
Tinley Park, IL 60477-2063
Phone (708) 429-5252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions32
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07000534AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Accredited Foot Surgeons Current Accepting new patients
Windy City Anesthesia PC PastSince Apr 9, 2019 Accepting new patients

Locations

9007 Indianapolis Blvd
Ste B
Highland, IN 46322
Phone (219) 923-1254

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1457420424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 45TH ST STE F",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213960",
            "telephone_number": "219-923-1254",
            "fax_number": "708-894-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH ST STE F",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213960",
            "telephone_number": "219-923-1254",
            "fax_number": "708-894-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9007 Indianapolis Blvd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463222575",
            "country_code": "US",
            "telephone_number": "219-923-1254",
            "fax_number": "708-429-5981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GARY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.