Individual provider Active NPI

David C Thoma, D.O.

  • Diagnostic Radiology Physician
  • Pensacola, FL
National Provider Identifier
1720289200
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58625 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501-2316
Phone
(850) 434-4011
NPI assigned
May 30, 2007
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X DO.2358 AL
Diagnostic Radiology Physician 2085R0202X OS11077 FL
Diagnostic Radiology Physician 2085R0202X 58625 FL Primary

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501-2316

Mailing address

PO Box 622047
Orlando, FL 32862-2047
Phone (844) 215-3266

Other practice location 1

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

Other practice location 2

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4897
Phone (850) 934-2000

Other practice location 3

7000 Cobble Crk
Pensacola, FL 32504-8638
Phone (850) 473-4800

Other practice location 4

1301 Belleville Ave
Brewton, AL 36426-1391
Phone (251) 567-8061

Other practice location 5

2016 S Alabama Ave
Monroeville, AL 36460-3096
Phone (251) 575-3111

Other practice location 6

8383 N Davis Hwy
Pensacola, FL 32514-6088
Phone (850) 494-4000

Other practice location 7

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000

Other identifiers 9

IdentifierTypeStateIssuer
512-50602OtherALALABAMA BCBS
5XU3JOtherFLFLORIDA BCBS
P02623004OtherALRAILROAD MEDICARE - ALABAMA
110820400MedicaidFL
Q00115228OtherFLRAILROAD MEDICARE - FLORIDA
267657MedicaidAL
512-50595OtherALALABAMA BCBS
A13139G491OtherALMEDICARE - ALABAMA
N4603OtherFLMEDICARE - FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, HI, FL, AL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150403000263 WV Practitioner - Diagnostic Radiology 4981736451 Reassigns benefits to 1 organization
I20160224000895 HI Practitioner - Diagnostic Radiology 4981736451 Reassigns benefits to 1 organization
I20210629000586 FL Practitioner - Diagnostic Radiology 4981736451 Reassigns benefits to 5 organizations
I20210805000780 AL Practitioner - Diagnostic Radiology 4981736451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Pensacola PAGroup PAC ID 0749240836, 20 clinicians
Southeast Radiology Partners LTDGroup PAC ID 2860886918, 26 clinicians
Radiology Associates of Tallahassee PAGroup PAC ID 6709895675, 25 clinicians
Tallahassee Diag Imaging Ctr LTDGroup PAC ID 9032193222, 25 clinicians

Practice addresses (Care Compare)

121 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503-2254
Phone (448) 227-3400

1301 Belleville Ave
Brewton, AL 36426-1306
Phone (850) 438-6784

14114 Alabama St
Jay, FL 32565-1219
Phone (850) 675-8000

318 N Sunset Blvd
Gulf Breeze, FL 32561-4058
Phone (800) 475-6112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2358ALMDProfessional Counselor
DO.2358ALMDDiagnostic Radiology Physician
58625FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Radiology Associates of Pensacola, PA Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
West Florida Medical Center Clinic, PA CurrentSince Jul 12, 2021 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Parkersburg Radiology Services, Inc. Diagnostic Radiology CurrentSince Jan 21, 2015 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Apex Medical Services, Inc Past Accepting new patients
Irad Services, Inc. Diagnostic Radiology Past Accepting new patients

Locations

1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439

2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

14114 Alabama St
Jay, FL 32565
Phone (850) 675-8000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

7000 Cobble Crk
Pensacola, FL 32504
Phone (850) 377-5938

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Organizations & group practices 9

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 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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1720289200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622047",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328622047",
            "telephone_number": "844-215-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-434-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Brickyard Rd",
            "address_purpose": "LOCATION",
            "city": "Chipley",
            "state": "FL",
            "postal_code": "324286303",
            "country_code": "US",
            "telephone_number": "850-638-1610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325614897",
            "country_code": "US",
            "telephone_number": "850-934-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Cobble Crk",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048638",
            "country_code": "US",
            "telephone_number": "850-473-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Belleville Ave",
            "address_purpose": "LOCATION",
            "city": "Brewton",
            "state": "AL",
            "postal_code": "364261391",
            "country_code": "US",
            "telephone_number": "251-567-8061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Alabama Ave",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "AL",
            "postal_code": "364603096",
            "country_code": "US",
            "telephone_number": "251-575-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8383 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146088",
            "country_code": "US",
            "telephone_number": "850-494-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14114 Alabama St",
            "address_purpose": "LOCATION",
            "city": "Jay",
            "state": "FL",
            "postal_code": "325651219",
            "country_code": "US",
            "telephone_number": "850-675-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMA",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "DO.2358",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS11077",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "58625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BCBS",
            "identifier": "512-50602",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "5XU3J",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - ALABAMA",
            "identifier": "P02623004",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110820400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - FLORIDA",
            "identifier": "Q00115228",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267657",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BCBS",
            "identifier": "512-50595",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - ALABAMA",
            "identifier": "A13139G491",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - FLORIDA",
            "identifier": "N4603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.