Individual provider Active NPI

Thomas James McKinney, M.D.

  • Emergency Medicine Physician
  • Richmond, IN
National Provider Identifier
1649377458
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01052696 Issued in IN
Practice address
1100 Reid Parkway
Emergency Department
Richmond, IN 47374-1157
Phone
(765) 983-3144
Fax
(765) 983-3038
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01052696 IN Primary

Addresses

Primary practice location

1100 Reid Parkway
Emergency Department
Richmond, IN 47374-1157

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374-1157
Phone (765) 983-0390

Other identifiers 2

IdentifierTypeStateIssuer
200311510MedicaidIN
000000176016OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101011001071 IN Practitioner - Emergency Medicine 4688866502 Reassigns benefits to 1 organization
I20130926000416 OH Practitioner - Emergency Medicine 4688866502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052696INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Nov 4, 2018 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 14, 2013 Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine CurrentSince Aug 27, 2019 Accepting new patients
Indiana Emergency Professionals PC Emergency Medicine CurrentSince Jun 21, 2016 Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients

Locations

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1649377458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-0390",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-983-3144",
            "fax_number": "765-983-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01052696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200311510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000176016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.