Mebin Babu Thomas, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1887 Issued in OK

Practice address

2316 NW 23Rd St
Oklahoma City, OK 73107-2406

Phone

(405) 605-3395

Fax

(405) 605-3673

NPI assigned

Apr 28, 2010

Last updated

Oct 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Psychiatric Clinic Clinton LLCGroup PAC ID 4486150364, 3 clinicians

Life Psychiatric Clinic PLLCGroup PAC ID 7618372764, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7043/brand/1/csg/1/fhir/r4
• Direct secure messaging: mebin.thomas.1@7043.direct.athenahealth.com

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.

• Life Psychiatric Clinic Clinton LLC

  dba Life Psychiatric Clinic

  • Psychiatry Physician
  • Clinton, OK
  • NPI 1871382598
  Medicare reassignment Care Compare group Authorized official
• Life Psychiatric Clinic PLLC

  • Neurology Physician
  • Edmond, OK
  • NPI 1427722370
  Medicare reassignment Care Compare group Authorized official
• Al-Botros PLLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1063573459
  Medicare reassignment
• Shepherd's Place Clinic LLC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1699012757
  NPD (past) Authorized official
• Shepherd's Place Clinic LLC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1780025858
  Authorized official Same address or phone
• Davenport Medical Center LLC

  • Medical Physician Assistant
  • Davenport, OK
  • NPI 1992094049
  NPD (past)
• Kuykendall Dermatology, PC

  • Dermatology Physician
  • Edmond, OK
  • NPI 1588892285
  NPD (past)
• Lindsay Brooke Dlugonski LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clinton, OK
  • NPI 1922739390
  NPD (past)
• Peter Lafon, DO, PLLC

  • Surgery Physician
  • Cushing, OK
  • NPI 1144456179
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1598082737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-605-3395",
            "fax_number": "405-605-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-605-3395",
            "fax_number": "405-605-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MEBIN",
        "middle_name": "BABU",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manu Thomas
• Marvin D Thomas, MED
• Mary Thomas
• Mary Ann Thomas, M.ED.
• Mason Ann Thomas
• Melanie Susan Thomas, D.P.T.
• Melissa Thomas, B.S.
• Menyounda Krischon Thomas, MS
• Michael Montae Thomas, BSN RN
• Michaela Thomas

• Medical Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.