Individual provider Active NPI

Joan L Thomas, MD

  • Cardiovascular Disease Physician
  • Rochester, NY
National Provider Identifier
1821040601
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
159039 Issued in NY
Practice address
101 Canal Landing Blvd
Suite #8
Rochester, NY 14626-5109
Phone
(585) 239-7300
Fax
(585) 227-7723
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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 159039 NY
Cardiovascular Disease Physician 207RC0000X 159039 NY Primary

Addresses

Primary practice location

101 Canal Landing Blvd
Suite #8
Rochester, NY 14626-5109

Mailing address

2365 S Clinton Ave
Suite #100
Rochester, NY 14618-2663
Phone (585) 442-5320

Other identifiers 1

IdentifierTypeStateIssuer
01194150MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jthomas14567@direct.rochesterregional.org

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
I20040121000786 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375445380 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159039NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital Internal Medicine Current Accepting new patients
Western New York Medical Practice P.C. Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2015 Accepting new patients

Locations

101 Canal Landing Blvd
Ste 8
Rochester, NY 14626
Phone (585) 239-7300

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

2365 S Clinton Ave
Ste 100
Rochester, NY 14618
Phone (585) 389-6045

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

101 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 239-7300

995 Senator Keating Blvd
Ste 100
Rochester, NY 14618
Phone (585) 241-6600

Interoperability endpoints

  • Direct secure messaging: joan.thomas.1@21022.direct.athenahealth.com

Organizations & group practices 4

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1821040601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 S CLINTON AVE",
            "address_2": "SUITE #100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182663",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CANAL LANDING BLVD",
            "address_2": "SUITE #8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265109",
            "telephone_number": "585-239-7300",
            "fax_number": "585-227-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159039",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "159039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01194150",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthomas14567@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "101 Canal Landing Blvd",
            "address_2": "Suite #8",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146265109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.