Individual provider Active NPI

Robert L Thomas, MD

  • Internal Medicine Physician
  • Walterboro, SC
National Provider Identifier
1750351508
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17150 Issued in SC
Practice address
300 Ruby St
Walterboro, SC 29488-2758
Phone
(843) 549-5599
Fax
(843) 549-5512
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 17150 SC
Pulmonary Disease Physician 207RP1001X 17150 SC
Sleep Medicine (Internal Medicine) Physician 207RS0012X 17150 SC
Internal Medicine Physician 207R00000X 17150 SC Primary

Addresses

Primary practice location

300 Ruby St
Walterboro, SC 29488-2758

Mailing address

300 Ruby St
Walterboro, SC 29488-2758
Phone (843) 549-5599

Other identifiers 1

IdentifierTypeStateIssuer
GP1737MedicaidSC

Other names 1

  • Thomas L Robert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 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
I20041109000103 SC Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3577526722 Reassigns benefits to 2 organizations
I20210202002643 GA Practitioner - Sleep Medicine 3577526722

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Hospice/Palliative Care, Pulmonary Disease, Sleep Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 B Marshellen Dr
Beaufort, SC 29902-6900
Phone (843) 962-4463

300 Ruby St
Walterboro, SC 29488-2758

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Walterboro, SC, CCN 427856
  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Agape Hospice of the Lowcountry Hospice, North Charleston, SC, CCN 421592
  • Colleton Medical Center Hospital, Walterboro, SC, CCN 420030
  • Allendale County Hospital Hospital, Fairfax, SC, CCN 421300
  • Hampton Regional Medical Center Hospital, Varnville, SC, CCN 420072
  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Sleep Disorders Center LLC. Sleep Medicine CurrentSince Apr 28, 2020 Accepting new patients
Robert L Thomas MD FCCP LLC Critical Care Medicine CurrentSince Nov 1, 2004 Accepting new patients

Locations

463 Pooler Pkwy
Pooler, GA 31322
Phone (843) 545-0076

1264 Ribaut Rd
Ste 402
Beaufort, SC 29902
Phone (843) 470-3755

17B Marshellen Dr
Beaufort, SC 29902
Phone (843) 379-5655

300 Ruby St
Walterboro, SC 29488
Phone (843) 263-7087

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHHJBD/Endpoint/IHHJBD
  • Direct secure messaging: rthomas300076@direct.musc.edu

Organizations & group practices 2

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 8

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1750351508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RUBY ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882758",
            "telephone_number": "843-549-5599",
            "fax_number": "843-549-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RUBY ST",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882758",
            "telephone_number": "843-549-5599",
            "fax_number": "843-549-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SC",
            "license": "17150",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "17150",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "SC",
            "license": "17150",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1737",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "ROBERT",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walterboro, SC

Sources for this page

Verify at the official NPI Registry.