Individual provider Active NPI

Thomas F Minehan, MD

  • Surgery Physician
  • Saranac Lake, NY
National Provider Identifier
1831181965
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
127204 Issued in NY
Practice address
309 County Route 47
Ste 4
Saranac Lake, NY 12983-5405
Phone
(518) 891-1610
Fax
(518) 891-5726
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 127204 NY Primary

Addresses

Primary practice location

309 County Route 47
Ste 4
Saranac Lake, NY 12983-5405

Mailing address

309 County Route 47
Ste 4
Saranac Lake, NY 12983-5405
Phone (518) 891-1610

Other identifiers 1

IdentifierTypeStateIssuer
00484840MedicaidNY

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
127204NYMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831181965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "STE 4",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-1610",
            "fax_number": "518-891-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "STE 4",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-1610",
            "fax_number": "518-891-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEHAN",
        "first_name": "THOMAS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "127204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00484840",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.