Active NPI
Blake Thomas, DO
- Family Medicine Physician
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9323
- Practice address
- 350 S 40TH St
Muskogee, OK 74401-4915 - Phone
- (918) 910-4300
- Fax
- (918) 910-4315
- NPI assigned
- Apr 25, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 90200000X | IL | |
| Family Medicine Physician | 207Q00000X | 036171685 | IL | |
| Family Medicine Physician | 207Q00000X | 9323 | OK | Primary |
Addresses
Primary practice location
350 S 40TH St
Muskogee, OK 74401-4915
Mailing address
815 Main St Ste C
Peoria, IL 61602-1080
Phone (309) 672-4977
Other practice location 1
815 Main St Ste C
Peoria, IL 61602-1080
Phone (309) 672-4977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Liberty Univ College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2187
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
- A Path of Care Sooner Home Health
- Saint Francis Hospital Muskogee
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036171685 | IL | MD | Family Medicine Physician |
| 90200000X | IL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Clinic Inc | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family Medicine | Current | Accepting new patients |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Family Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A1
Peoria, IL 61602
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
815 Main St
Ste C
Peoria, IL 61602
Phone (309) 672-4986
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
350 S 40th St
Muskogee, OK 74401
Phone (918) 683-0753
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
Interoperability endpoints
- bthomas248905@direct.saintfrancis.com
- bthomasdo388612@carlehiedirect.net
Organizations & group practices 7
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.
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Muskogee, OK
- NPI 1841415254
-
- General Acute Care Hospital
- Muskogee, OK
- NPI 1386188837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1669116752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 MAIN ST STE C",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021080",
"telephone_number": "309-672-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S 40TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014915",
"telephone_number": "918-910-4300",
"fax_number": "918-910-4315"
}
],
"practiceLocations": [
{
"address_1": "815 Main St Ste C",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616021080",
"country_code": "US",
"telephone_number": "309-672-4977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "BLAKE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-25",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "90200000X",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036171685",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "9323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.