NPIMap

Individual provider Active NPI

Kenneth R Thomas, MD

  • Urology Physician
  • Starkville, MS
National Provider Identifier
1891900569
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
21408 Issued in MS
Practice address
100 Wilburn Way
Starkville, MS 39759-3692
Phone
(662) 498-1400
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 21408 MS Primary

Addresses

Primary practice location

100 Wilburn Way
Starkville, MS 39759-3692

Mailing address

6910 Ms Highway 389
Starkville, MS 39759-7886
Phone (662) 498-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000142 MS Practitioner - Urology 6406025865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Mississippi School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

Practice addresses (Care Compare)

100 Wilburn Way
Starkville, MS 39759-3692

111 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 494-1509

150 Medical Ctr Dr
West Point, MS 39773-0428
Phone (601) 494-2321

187 Medical Ctr Dr
West Point, MS 39773-0428
Phone (662) 492-3175

Hospital & facility affiliations

  • Clay County Medical Corporation Hospital, West Point, MS, CCN 250067
  • North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
  • Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
  • BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100
  • Webster General Hospital/ Swing Bed Hospital, Eupora, MS, CCN 250020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21408MSMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clay County Medical Corporation Current Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Clay County Medical Corporation Current Accepting new patients
Urology Clinic of Meridian, P.a. Urology Current Accepting new patients
Clay County Medical Corporation CurrentSince May 12, 2020 Accepting new patients
Clay County Medical Corporation CurrentSince May 12, 2020 Accepting new patients
Clay County Medical Corporation Past Accepting new patients

Locations

100 Wilburn Way
Ste A
Starkville, MS 39759
Phone (662) 498-1400

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

Interoperability endpoints

  • Direct secure messaging: kenneththomas@nmhs.medalliesdirect.net
  • Direct secure messaging: kenneth_thomas_md@yourcarecommunity.org

Organizations & group practices 11

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 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1891900569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 MS HIGHWAY 389",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397597886",
            "telephone_number": "662-498-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILBURN WAY",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593692",
            "telephone_number": "662-498-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "21408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.