Active NPI
Theverthundiyil K Thomas, MD
- Gastroenterology Physician
- Ware, MA
National Provider Identifier
1831169150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35816
- Practice address
- 25 Marjorie St
Ware, MA 01082-1711 - Phone
- (413) 967-2800
- Fax
- (413) 967-2806
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35816 | MA | |
| Gastroenterology Physician | 207RG0100X | 35816 | MA | Primary |
Addresses
Primary practice location
25 Marjorie St
Ware, MA 01082-1711
Mailing address
280 Chestnut St
2ND FL
Springfield, MA 01199-1619
Phone (413) 794-5700
Other names 1
- T K Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35816 | MA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southbridge Interventional Pain,Inc | Past | Accepting new patients | |
| T.K. Thomas, M.D. | Internal Medicine | Past | Accepting new patients |
| Baystate Affiliated Practice Organization | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJGGCA
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1043256043
-
- Pain Medicine Physician
- Sturbridge, MA
- NPI 1396043071
-
- Internal Medicine Physician
- Southbridge, MA
- NPI 1457502171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1831169150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST",
"address_2": "2ND FL",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991619",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MARJORIE ST",
"city": "WARE",
"state": "MA",
"postal_code": "010821711",
"telephone_number": "413-967-2800",
"fax_number": "413-967-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "THEVERTHUNDIYIL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "35816",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "35816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "T",
"last_name": "THOMAS",
"middle_name": "K",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ware, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.