Individual provider Active NPI

Ken Thomas, M.D.

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1881699015
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.200106 Issued in LA
Practice address
622 Cypress St
Sulphur, LA 70663-5052
Phone
(337) 527-2491
Fax
(337) 528-2749
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.200106 LA Primary

Addresses

Primary practice location

622 Cypress St
Sulphur, LA 70663-5052

Mailing address

622 Cypress St
Sulphur, LA 70663-5052
Phone (337) 527-2491

Other identifiers 1

IdentifierTypeStateIssuer
1787159MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050810000924 LA Practitioner - Family Practice 3678502515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

622 Cypress St
Sulphur, LA 70663-5052
Phone 337527249114

Hospital & facility affiliations

  • West Calcasieu Cameron Hospital HHA Home health agency, Sulphur, LA, CCN 197178
  • Southern Home Health Home health agency, Lake Charles, LA, CCN 197766
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Braud Family Practice, LLC Family Medicine Current Accepting new patients
Amy Sarah Thompson Soileau MD LLC Current Accepting new patients
Ken Thomas MD LLC Family Medicine CurrentSince Jul 25, 2005 Accepting new patients
Lannan Family Practice, LLC Family Medicine Current Accepting new patients

Locations

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

921 1st Ave
Sulphur, LA 70663
Phone (337) 527-2491

622 Cypress St
Sulphur, LA 70663
Phone (337) 527-2491

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1881699015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-2491",
            "fax_number": "337-528-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-2491",
            "fax_number": "337-528-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.200106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1787159",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.