Individual provider Active NPI

Thomas Bowers Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Doral, FL
National Provider Identifier
1487028189
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9366405 Issued in FL
Practice address
2801 NW 79TH Ave
Doral, FL 33122-1174
Phone
(786) 466-1154
Fax
(786) 466-1358
NPI assigned
Nov 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 700952 IN
Certified Registered Nurse Anesthetist 367500000X 28180492A IN
Certified Registered Nurse Anesthetist 367500000X APRN9366405 FL Primary

Addresses

Primary practice location

2801 NW 79TH Ave
Doral, FL 33122-1174

Mailing address

3192 W 200 N
Peru, IN 46970-7539

Other identifiers 2

IdentifierTypeStateIssuer
000001024914OtherINANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
201346220MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160218000336 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658676390 Reassigns benefits to 2 organizations
I20170503001807 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658676390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

2801 NW 79TH Ave
Doral, FL 33122-1174
Phone (786) 466-1286

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN9366405FLMDCertified Registered Nurse Anesthetist
700952INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Anesthesia & Pain Treatment, P.a. Nurse Anesthetist, Certified Registered CurrentSince May 8, 2017 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2016 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2016 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 1, 2022 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 1, 2016 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 1, 2022 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

1611 NW 12th Ave
#C300
Miami, FL 33136
Phone (305) 585-7037

8016 Reliable Pkwy
Chicago, IL 60686

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

2600 Ferry St
Lafayette, IN 47904

2600 Greenbush St
Lafayette, IN 47904

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 7

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1487028189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 W 200 N",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469707539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW 79TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221174",
            "telephone_number": "786-466-1154",
            "fax_number": "786-466-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "700952",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28180492A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9366405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653",
            "identifier": "000001024914",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201346220",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.