Active NPI
Savanna Thor, D.O.
- Gastroenterology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 280325
- Practice address
- 450 Clarkson Ave # Msc1196
Brooklyn, NY 11203-2012 - Phone
- (718) 270-4772
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OTO13136 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OT013136 | PA | |
| Gastroenterology Physician | 207RG0100X | 280325 | NY | Primary |
Addresses
Primary practice location
450 Clarkson Ave # Msc1196
Brooklyn, NY 11203-2012
Mailing address
450 Clarkson Ave # Msc1196
Brooklyn, NY 11203-2012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
450 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 826-4959
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTO13136 | PA | MD | Internal Medicine Physician |
| OT013136 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc. | Internal Medicine | Current | Accepting new patients |
| Be Well Primary Health Care Center, LLC | Current | Accepting new patients | |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients |
Locations
450 Clarkson Ave
#1196
Brooklyn, NY 11203
Phone (718) 270-1835
450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603
450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481
3007 Farragut Rd
Brooklyn, NY 11210
Phone (347) 915-1177
450 Clarkson Ave
Ste A
Brooklyn, NY 11203
Phone (718) 270-1432
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- savannathor@sunydmc.allscriptsdirect.net
- sthor1056632@nychhc.direct-ci.com
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1366506271
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1083623409
-
dba Downstate Health Physicians
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1568419000
-
dba Downstate Health Physicians
- Child & Adolescent Psychiatry Physician
- Brooklyn, NY
- NPI 1689715476
-
dba Downstate Health Physicians
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1457672529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # MSC1196",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CLARKSON AVE # MSC1196",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112032012",
"telephone_number": "718-270-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOR",
"first_name": "SAVANNA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OTO13136",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "OT013136",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "280325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.