Individual provider Active NPI

Nicholas Matthew Thomas-Bock, D.O.

  • Pediatric Radiology Physician
  • Peninsula, OH
National Provider Identifier
1902285117
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
34.015123 Issued in OH
Practice address
6039 Ledgeview Dr
Peninsula, OH 44264-9540
Phone
(330) 418-2603
NPI assigned
May 20, 2015
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 34.015123 OH Primary
Diagnostic Radiology Physician 2085R0202X C2562 KY
Diagnostic Radiology Physician 2085R0202X 34.015123 OH
Diagnostic Radiology Physician 2085R0202X DOC-037 GU

Addresses

Primary practice location

6039 Ledgeview Dr
Peninsula, OH 44264-9540

Mailing address

6039 Ledgeview Dr
Peninsula, OH 44264-9540
Phone (330) 418-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY, GU, OH, WV, PA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20240911000772 TX Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 3 organizations
I20241016002454 KY Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 1 organization
I20250107002460 GU Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 3 organizations
I20250307003330 OH Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 8 organizations
I20250926002366 WV Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 3 organizations
I20251224000507 PA Practitioner - Diagnostic Radiology 3375840937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Infinity Teleradiology LLCGroup PAC ID 9830630854, 30 clinicians
Idoc Telehealth Solutions, IncGroup PAC ID 4587967534, 23 clinicians
Premier Imaging and Intervention PLLCGroup PAC ID 4587562335, 23 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
West Virginia Radiology Associates PCGroup PAC ID 9133666431, 91 clinicians

Practice addresses (Care Compare)

Peninsula, OH 44264
Phone (606) 743-3186

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

2485 Hwy 644
Louisa, KY 41230-9242
Phone (606) 638-7408

397 Timberleaf Dr
Beavercreek, OH 45430-2099
Phone (812) 285-5985

5350 Old Dowlen Rd
Apt 421
Beaumont, TX 77706-6629
Phone (617) 981-3064

6039 Ledgeview Dr
Peninsula, OH 44264-9540
Phone (304) 550-7745

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015123OHMDPediatric Radiology Physician
C2562KYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Norton Clark Physician Practices, LLC CurrentSince Apr 24, 2025 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jan 25, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology CurrentSince Aug 24, 2025 Accepting new patients
Infinity Teleradiology LLC Diagnostic Radiology CurrentSince Jul 21, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jul 19, 2025 Accepting new patients
Premier Imaging and Intervention, PLLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 21, 2026 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 1, 2025 Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Mar 6, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Jan 6, 2025 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 21, 2026 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Jul 19, 2025 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Jan 28, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 24, 2025 Accepting new patients
Arh Tug Valley Health Services, Inc. Diagnostic Radiology CurrentSince Jul 2, 2025 Accepting new patients
Idoc Telehealth Solutions, Inc CurrentSince Jul 18, 2025 Accepting new patients
Boone Memorial Hospital, Inc Current Accepting new patients
Akron Children's Hospital Current Accepting new patients
Guam Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Diagnostic Radiology CurrentSince Jul 7, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Current Accepting new patients
Arh Tug Valley Health Services, Inc. Diagnostic Radiology Current Accepting new patients
Appalachian Regional Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
Appalachian Regional Healthcare, Inc Diagnostic Radiology Past Accepting new patients

Locations

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2561

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

Interoperability endpoints

  • Direct secure messaging: nthomas75075@direct.chmca.org

Organizations & group practices 32

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 32

Hospital & facility affiliations 1

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1902285117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 LEDGEVIEW DR",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649540",
            "telephone_number": "330-418-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 LEDGEVIEW DR",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649540",
            "telephone_number": "330-418-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-BOCK",
        "first_name": "NICHOLAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "34.015123",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "C2562",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.015123",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "DOC-037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peninsula, OH

Sources for this page

Verify at the official NPI Registry.