Individual provider Active NPI

Grace M Thomas, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1699069260
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
558717 Issued in TX
Practice address
3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone
(405) 945-4741
Fax
(888) 972-5320
NPI assigned
Jun 1, 2011
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 558717 TX Primary

Addresses

Primary practice location

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455

Mailing address

3433 NW 56TH St, Suite C-40
Oklahoma City, OK 73112-4455
Phone (405) 945-4741

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518001934 OK Practitioner - Diagnostic Radiology 7618279860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants PCGroup PAC ID 6204723547, 22 clinicians

Practice addresses (Care Compare)

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.61 of 100Reported as group
Quality
55.21
Improvement activities
40
Cost
67.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
558717TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
Radiology Consultants, PC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Integris Prohealth Inc CurrentSince Jan 1, 2018 Accepting new patients

Locations

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

3330 NW 56th St
Ste 206
Oklahoma City, OK 73112
Phone (405) 945-4710

3433 NW 56th St
Ste C40
Oklahoma City, OK 73112

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4625 S Western Ave
Oklahoma City, OK 73109
Phone (405) 632-2323

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

Dept 960591
Oklahoma City, OK 73196

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1699069260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST, SUITE C-40",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124455",
            "telephone_number": "405-945-4741",
            "fax_number": "888-972-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GRACE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "558717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.