Active NPI
Rexford Lee Thomas Jr., M.D
- Surgery Physician
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 191725
- Practice address
- 1026 Union Rd
West Seneca, NY 14224-3445 - Phone
- (716) 712-0851
- Fax
- (716) 712-0853
- NPI assigned
- Sep 20, 2005
- 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 | 191725 | NY | Primary |
Addresses
Primary practice location
1026 Union Rd
West Seneca, NY 14224-3445
Mailing address
1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-0851
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01977417 | Medicaid | NY | |
| 1710862 | Other | NY | IHA |
| 000525722005 | Other | NY | BC/BS |
| 00026031604 | Other | NY | UNIVERA |
| 457959 | Other | NY | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1026 Union Rd
West Seneca, NY 14224-3445
Phone (716) 712-0851
112 Olean St
East Aurora, NY 14052-2540
Phone (716) 712-0851
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 108 |
| Hernia repair - groin (open) | 1-10 |
| Melanoma (skin cancer) excision | 17 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 23 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191725 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southgate Medical Group,LLP | Current | Accepting new patients | |
| Genesee Valley Group Health Association | Past | Accepting new patients | |
| Frontier Surgical Associates, LLP | Surgery | Past | Accepting new patients |
Locations
112 Olean St
Ste 220
East Aurora, NY 14052
Phone (716) 805-1072
1026 Union Rd
West Seneca, NY 14224
Phone (716) 712-0851
Interoperability endpoints
- drthomas@smg.medentdirect.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- West Seneca, NY
- NPI 1487611927
-
- Surgery Physician
- West Seneca, NY
- NPI 1518924182
-
dba Lifetime Health Medical Group
- Clinic/Center
- Amherst, NY
- NPI 1295751261
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
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": "1406073600000",
"number": "1629063235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243445",
"telephone_number": "716-712-0851",
"fax_number": "716-712-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243445",
"telephone_number": "716-712-0851",
"fax_number": "716-712-0853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "REXFORD",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "191725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01977417",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1710862",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000525722005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026031604",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "457959",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.