Individual provider Active NPI

Stephen L Thomas, M.D.

  • Internal Medicine Physician
  • Mesa, AZ
National Provider Identifier
1508849985
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27161 Issued in AZ
Practice address
6112 E Brown Rd
Mesa, AZ 85205-4955
Phone
(480) 924-4422
Fax
(480) 924-8822
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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 27161 AZ Primary

Addresses

Primary practice location

6112 E Brown Rd
Mesa, AZ 85205-4955

Mailing address

6112 E Brown Rd
Mesa, AZ 85205-4955
Phone (480) 924-4422

Other identifiers 3

IdentifierTypeStateIssuer
475295MedicaidAZ
110191782OtherAZRAILROAD MEDICARE
86080015085259A716OtherAZTRIWEST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100118000266 AZ Practitioner - Internal Medicine 4082756754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kerry S Green MD PLCGroup PAC ID 3476538729, 7 clinicians

Practice addresses (Care Compare)

6112 E Brown Rd
Mesa, AZ 85205-4955
Phone 4809244422227

Hospital & facility affiliations

  • Dignity Health at Home Home health agency, Chandler, AZ, CCN 037281
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

Merit-based Incentive Payment System (MIPS)

Final score
35.59 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
83.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27161AZMDInternal Medicine Physician

Organizations & group practices 1

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 5

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1508849985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054955",
            "telephone_number": "480-924-4422",
            "fax_number": "480-924-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054955",
            "telephone_number": "480-924-4422",
            "fax_number": "480-924-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHEN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475295",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110191782",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST",
            "identifier": "86080015085259A716",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.