NPIMap

Individual provider Active NPI

Shery Thomas, MD

  • Internal Medicine Physician
  • E Liverpool, OH
National Provider Identifier
1467478388
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-067896 Issued in OH
Practice address
15688 St RT 170
E Liverpool, OH 43920
Phone
(330) 385-4004
Fax
(330) 385-3949
NPI assigned
Jul 14, 2006
Last updated
Apr 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-067896 OH Primary

Addresses

Primary practice location

15688 St RT 170
E Liverpool, OH 43920

Mailing address

15688 St RT 170
PO Box 2346
E Liverpool, OH 43920
Phone (330) 385-4004

Other identifiers 1

IdentifierTypeStateIssuer
0117680MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000271 OH Practitioner - Internal Medicine 1052332434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas and Husain Medical Assoc IncGroup PAC ID 1254352636, 2 clinicians

Practice addresses (Care Compare)

48681 Calcutta Smithferry Rd
East Liverpool, OH 43920-9006
Phone (330) 385-4004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.6 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
84.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-067896OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas & Husain Medical Assoc Inc Internal Medicine CurrentSince Jun 13, 2003 Accepting new patients
PNP, Inc. Past Accepting new patients
The City Hospital Association Past Accepting new patients
River Valley Physicians, LLC Past Accepting new patients

Locations

15688 State Route 170
East Liverpool, OH 43920
Phone (330) 385-4004

15700 State Route 170
Ste D
East Liverpool, OH 43920
Phone (330) 385-3003

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA
  • Direct secure messaging: sherry.thomas@10516.chartlogic.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1467478388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15688 ST RT 170",
            "address_2": "PO BOX 2346",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-385-4004",
            "fax_number": "330-385-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15688 ST RT 170",
            "city": "E LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-385-4004",
            "fax_number": "330-385-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-067896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0117680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in E Liverpool, OH

Sources for this page

Verify at the official NPI Registry.