Active NPI
Thomas J Howard, M.D.
- Surgery Physician
- Indianapolis, IN
National Provider Identifier
1497713044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 1040674A
- Practice address
- 6105 Shawnee Trail South Dr
Indianapolis, IN 46220-5069 - Phone
- (317) 621-3970
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 1040674A | IN | Primary |
Addresses
Primary practice location
6105 Shawnee Trail South Dr
Indianapolis, IN 46220-5069
Mailing address
6105 Shawnee Trail South Dr
Indianapolis, IN 46220-5069
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100354700 | Medicaid | IN | |
| 000000778728 | Other | IN | ANTHEM |
| P01291579 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040674A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| University General Surgeons, Inc. | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Surgery Physician
- Indianapolis, IN
- NPI 1811019847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1497713044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6105 SHAWNEE TRAIL SOUTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462205069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 SHAWNEE TRAIL SOUTH DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462205069",
"telephone_number": "317-621-3970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "1040674A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100354700",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000778728",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01291579",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.