NPIMap

Individual provider Active NPI

Christopher Wayne Thomas, M.D.

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1548256167
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
175013 Issued in NY
Practice address
11 Hampstead PL N Ste 103
Saratoga Springs, NY 12866-5669
Phone
(518) 583-7400
NPI assigned
Sep 20, 2005
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 175013 NY Primary

Addresses

Primary practice location

11 Hampstead PL N Ste 103
Saratoga Springs, NY 12866-5669

Mailing address

200 Broad St
Schuylerville, NY 12871-1024
Phone (518) 695-3668

Other practice location 1

200 Broad St
Schuylerville, NY 12871-1024
Phone (518) 695-3668

Other identifiers 1

IdentifierTypeStateIssuer
00697301MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100828000132 NY Practitioner - Family Practice 9032233986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11 Hampstead PL N
Suite 103
Saratoga Springs, NY 12866-5669
Phone (518) 583-7400

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Care Family Health Centers, Inc. Family Medicine Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

11 Hampstead Pl N
Ste 103
Saratoga Springs, NY 12866
Phone (518) 471-3636

200 Broad St
Schuylerville, NY 12871
Phone (518) 695-3668

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: cthomas834730@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1548256167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BROAD ST",
            "city": "SCHUYLERVILLE",
            "state": "NY",
            "postal_code": "128711024",
            "telephone_number": "518-695-3668",
            "fax_number": "518-695-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMPSTEAD PL N STE 103",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665669",
            "telephone_number": "518-583-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Broad St",
            "address_purpose": "LOCATION",
            "city": "Schuylerville",
            "state": "NY",
            "postal_code": "128711024",
            "country_code": "US",
            "telephone_number": "518-695-3668",
            "fax_number": "518-695-3614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "175013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697301",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "11 Hampstead Pl N Ste 103",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128665669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.