Individual provider Active NPI

Isaac Thomas, M.D.

  • Nephrology Physician
  • Edgewood, KY
National Provider Identifier
1881630143
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34803 Issued in KY
Practice address
830 Thomas More Pkwy
#202
Edgewood, KY 41017-5102
Phone
(859) 341-6281
Fax
(859) 341-4661
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35-078078 OH
Nephrology Physician 207RN0300X 34803 KY Primary
Nephrology Physician 207RN0300X 01049480A IN

Addresses

Primary practice location

830 Thomas More Pkwy
#202
Edgewood, KY 41017-5102

Mailing address

830 Thomas More Pkwy
# 202
Edgewood, KY 41017-5102
Phone (859) 341-6281

Other identifiers 3

IdentifierTypeStateIssuer
200454710MedicaidIN
2187664MedicaidOH
64015413MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100907000291 OH Practitioner - Nephrology 3577527761 Reassigns benefits to 1 organization
I20111214000473 KY Practitioner - Nephrology 3577527761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

Practice addresses (Care Compare)

3219 Clifton Ave
Suite 325
Cincinnati, OH 45220-3046
Phone (513) 861-0800

830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01049480AINMDNephrology Physician
35-078078OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Aug 1, 2000 Accepting new patients
Tristate Arthritis & Rheumatology PSC PastSince Aug 1, 2000 Accepting new patients

Locations

721 Rudolph Way
Greendale, IN 47025
Phone (812) 537-4240

1500 James Simpson Jr Way
Ste 301
Covington, KY 41011
Phone (859) 341-6281

405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610

7370 Turfway Rd
Ste 290
Florence, KY 41042
Phone (330) 637-0348

7370 Turfway Rd
Ste 150
Florence, KY 41042
Phone (859) 212-4450

40 N Grand Ave
Ste 204
Fort Thomas, KY 41075
Phone (606) 781-6222

830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

3301 Mercy Health Blvd
Ste 365
Cincinnati, OH 45211
Phone (513) 758-1170

3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800

4600 Montgomery Rd
Ste 105
Cincinnati, OH 45212
Phone (513) 487-5305

Interoperability endpoints

  • Direct secure messaging: isaacthomas@tkhc.allscriptsdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ithomas14327@direct-prd.stelizabeth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1881630143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PKWY",
            "address_2": "# 202",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175102",
            "telephone_number": "859-341-6281",
            "fax_number": "859-341-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PKWY",
            "address_2": "#202",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175102",
            "telephone_number": "859-341-6281",
            "fax_number": "859-341-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-078078",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "34803",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01049480A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200454710",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187664",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64015413",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.