Active NPI
Gary John Thomas, DPM
- Foot & Ankle Surgery Podiatrist
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 07000534A
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 32 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000534A | IN | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accredited Foot Surgeons | Current | Accepting new patients | |
| Windy City Anesthesia PC | Past | 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.
-
dba Gary J. Thomas, DPM
- Foot Surgery Podiatrist
- Highland, IN
- NPI 1780846139
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.