Individual provider Active NPI

Thomas G Ling, MD

  • Internal Medicine Physician
  • Petoskey, MI
National Provider Identifier
1528065034
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301052621 Issued in MI
Practice address
2810 Charlevoix Ave
Suite 104
Petoskey, MI 49770
Phone
(231) 881-9054
Fax
(231) 881-9052
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 4301052621 MI Primary

Addresses

Primary practice location

2810 Charlevoix Ave
Suite 104
Petoskey, MI 49770

Mailing address

2810 Charlevoix Ave
Suite 104
Petoskey, MI 49770
Phone (231) 881-9054

Other identifiers 1

IdentifierTypeStateIssuer
104085712MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address THOMASLING@cah.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250310003293 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2860461043

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: tling825476@direct.ochin.org
  • Direct secure messaging: thomasling@cah.cernerdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1528065034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 CHARLEVOIX AVE",
            "address_2": "SUITE 104",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-881-9054",
            "fax_number": "231-881-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 CHARLEVOIX AVE",
            "address_2": "SUITE 104",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "49770",
            "telephone_number": "231-881-9054",
            "fax_number": "231-881-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-01-23",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301052621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104085712",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THOMASLING@cah.cernerdirect.com",
            "affiliation": "N",
            "address_1": "14700 Lake Shore Dr",
            "city": "Charlevoix",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497201931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.