Individual provider Active NPI

Silburn Wilson Thomas, M.D.

  • Internal Medicine Physician
  • Mount Vernon, NY
National Provider Identifier
1760494538
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
176335 Issued in NY
Practice address
105 Stevens Ave
Suite 602
Mount Vernon, NY 10550-2686
Phone
(914) 668-1212
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 176335 NY Primary

Addresses

Primary practice location

105 Stevens Ave
Suite 602
Mount Vernon, NY 10550-2686

Mailing address

288 S Highland Ave
Briarcliff Manor, NY 10510-2038
Phone (914) 762-8208

Other identifiers 1

IdentifierTypeStateIssuer
BT 2326088OtherTAX ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070327000213 NY Practitioner - Internal Medicine 4688778905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Stevens Ave
Suite 602
Mount Vernon, NY 10550-2683
Phone (914) 668-1212

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176335NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silburn W. Thomas,M.D.,P.C Internal Medicine CurrentSince Feb 1, 1997 Accepting new patients

Locations

105 Stevens Ave
Ste 602
Mount Vernon, NY 10550
Phone (914) 668-1212

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760494538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S HIGHLAND AVE",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102038",
            "telephone_number": "914-762-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE",
            "address_2": "SUITE 602",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502686",
            "telephone_number": "914-668-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SILBURN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID NUMBER",
            "identifier": "BT 2326088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.