Individual provider Active NPI

Thomas Silva

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1871129783
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8488 Issued in AZ
Practice address
3330 N 2ND St Ste 601
Phoenix, AZ 85012-2395
Phone
(602) 230-7373
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8488 AZ Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X PA8488 AZ
Psychiatry Physician 2084P0800X 100355 IA

Addresses

Primary practice location

3330 N 2ND St Ste 601
Phoenix, AZ 85012-2395

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373

Other practice location 1

250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 530-1925

Other practice location 2

3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Phone (602) 230-7373

Other practice location 3

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone (602) 230-7373

Other identifiers 1

IdentifierTypeStateIssuer
100355OtherIAIOWA DEPARTMENT OF PUBLIC HEALTH DEPARTMENT OF PROFESSIONAL LICENSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psychiatrywestfrontdesk@mcclinic.direct-ci.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603002065 AZ Practitioner - Physician Assistant 3274964820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denova Collaborative Health, LLCGroup PAC ID 2466437736, 141 clinicians

Practice addresses (Care Compare)

3033 N Central Ave
Suite 700
Phoenix, AZ 85012-2806
Phone (602) 230-7373

3330 N 2ND St
Suite 601
Phoenix, AZ 85012-2395
Phone (602) 230-7373

610 E Baseline Rd
Suite C 5
Phoenix, AZ 85042-6536
Phone (602) 230-7373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA8488AZMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC Current Accepting new patients

Locations

2120 W Guadalupe Rd
Ste 6
Mesa, AZ 85202
Phone (480) 629-8577

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

610 E Baseline Rd
Ste 5
Phoenix, AZ 85042

Interoperability endpoints

  • Direct secure messaging: denova.thomassilva@141317.advancedmd-direct.com

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1871129783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 550",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122635",
            "telephone_number": "602-230-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N 2ND ST STE 601",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122395",
            "telephone_number": "602-230-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 S Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Mason City",
            "state": "IA",
            "postal_code": "504012926",
            "country_code": "US",
            "telephone_number": "641-530-1925",
            "fax_number": "494-517-5175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3033 N Central Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122806",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 E Baseline Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850426536",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "fax_number": "602-441-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "PA8488",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "PA8488",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "100355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DEPARTMENT OF PUBLIC HEALTH DEPARTMENT OF PROFESSIONAL LICENSING",
            "identifier": "100355",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psychiatrywestfrontdesk@mcclinic.direct-ci.net",
            "affiliation": "N",
            "endpointDescription": "Mason City Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "250 S Crescent Dr",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.