Individual provider Active NPI

Justin Thai, DO

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1700325487
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.014102 Issued in OH
Practice address
5100 W Broad St
Columbus, OH 43228-1607
Phone
(614) 544-1047
Fax
(614) 544-1028
NPI assigned
Feb 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.014102 OH Primary
Emergency Medicine Physician 207P00000X 02006224A IN
Emergency Medicine Physician 207P00000X EMC0004670 MI
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 34014102 OH

Addresses

Primary practice location

5100 W Broad St
Columbus, OH 43228-1607

Mailing address

6212 Feder Rd
Columbus, OH 43228-9531

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 2

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8166

Other practice location 3

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone (937) 702-4500

Other practice location 4

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Phone (937) 384-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200108001846 OH Practitioner - Emergency Medicine 1850662545 Reassigns benefits to 4 organizations
I20210609000692 IN Practitioner - Emergency Medicine 1850662545 Reassigns benefits to 4 organizations
I20240405002147 MI Practitioner - Emergency Medicine 1850662545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University College of Dental Medicine, Downers Grove, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Dawn LN
Waverly, OH 45690-9138
Phone (740) 947-2186

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Madison Health Hospital, London, OH, CCN 360189

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02006224AINMDEmergency Medicine Physician
34.014102OHMDEmergency Medicine Physician
34014102OHMDPediatric Emergency Medicine (Pediatrics) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince May 28, 2021 Accepting new patients
Riverview Hospital Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 9, 2022 Accepting new patients
Baptist Health Medical Group Inc Emergency Medicine CurrentSince Aug 9, 2022 Accepting new patients
Riverview Hospital CurrentSince Mar 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Pomerene Hospital CurrentSince Jul 15, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Observation Emergency Physicians, P.C. Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

800 Highlander Point Dr
Ste 103
Floyds Knobs, IN 47119
Phone (800) 434-5482

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

210 N Main St
London, OH 43140
Phone (740) 845-7343

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

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1700325487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 FEDER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281607",
            "telephone_number": "614-544-1047",
            "fax_number": "614-544-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291221",
            "country_code": "US",
            "telephone_number": "937-395-8166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 Pentagon Blvd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-702-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Miamisburg Centerville Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453427615",
            "country_code": "US",
            "telephone_number": "937-384-8791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAI",
        "first_name": "JUSTIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-15",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014102",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02006224A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "EMC0004670",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "34014102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.