Individual provider Active NPI

Justin D Thomas, D.O.

  • Hospitalist Physician
  • Dayton, OH
National Provider Identifier
1730595141
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34012718 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405-7538
Phone
(937) 723-3276
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34012718 OH
Hospitalist Physician 208M00000X 34012718 OH Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-7538

Mailing address

1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310

Other practice location 1

540 Lincoln Park Blvd Ste 200
Kettering, OH 45429
Phone (937) 293-1117

Other practice location 2

165 S Edwin C Moses Blvd
Dayton, OH 45402-8472
Phone (937) 558-0200

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jthomas530835@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MO2 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
I20170602001742 OH Practitioner - HospitalistPractitioner - Internal Medicine 3173847266 Reassigns benefits to 3 organizations
I20240508000732 MO Practitioner - Hospitalist 3173847266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34012718OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group Internal Medicine CurrentSince Jun 1, 2024 Accepting new patients
SSM Health Care Group CurrentSince Jun 1, 2024 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Sep 1, 2019 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince Oct 12, 2021 Accepting new patients
Dayton Osteopathic Hospital CurrentSince Sep 1, 2019 Accepting new patients
Internal Medicine Care, Inc Internal Medicine Current Accepting new patients
Kettering Independent Medical Group Inc Internal Medicine CurrentSince Dec 29, 2022 Accepting new patients
Internal Medicine Care, Inc Internal Medicine CurrentSince Oct 12, 2021 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Dayton Osteopathic Hospital Past Accepting new patients

Locations

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

2633 Commons Blvd
Ste 120
Beavercreek, OH 45431
Phone (937) 427-7540

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

165 S Edwin C Moses Blvd
Dayton, OH 45402
Phone (937) 396-8150

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

600 W Main St
Troy, OH 45373
Phone (937) 395-6665

Interoperability endpoints

  • Direct secure messaging: jthomas510896@direct-ehr-ssmhc.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1730595141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PL STE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1310",
            "fax_number": "937-762-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454057538",
            "telephone_number": "937-723-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Lincoln Park Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "45429",
            "country_code": "US",
            "telephone_number": "937-293-1117",
            "fax_number": "937-298-4728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 S Edwin C Moses Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454028472",
            "country_code": "US",
            "telephone_number": "937-558-0200",
            "fax_number": "937-558-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34012718",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34012718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthomas530835@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "165 S Edwin C Moses Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454028472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.