NPIMap

Individual provider Active NPI

Thomas J Nicholson, MD

  • Colon & Rectal Surgery Physician
  • York, PA
National Provider Identifier
1922081785
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD069287L Issued in PA
Practice address
1703 Innovation Dr Ste 3136
York, PA 17408-8815
Phone
(717) 741-3449
Fax
(717) 741-5496
NPI assigned
Nov 25, 2005
Last updated
Apr 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD069287L PA Primary

Addresses

Primary practice location

1703 Innovation Dr Ste 3136
York, PA 17408-8815

Mailing address

1703 Innovation Dr Ste 3136
York, PA 17408-8815

Other practice location 1

25 Monument Rd
Suite 260
York, PA 17403-5060
Phone (717) 741-3449

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnicholson65643@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040302000938 PA Practitioner - General Surgery 2961399134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1703 Innovation Dr
Leader Surgical Associates Upmc
York, PA 17408-9712
Phone (717) 741-3449

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy208
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2019 Accepting new patients
Upmc Leader Surgery Center, LLC Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Upmc Memorial Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

1703 Innovation Dr
York, PA 17408
Phone (717) 741-3449

1703 Innovation Dr
Ste 3136
York, PA 17408
Phone (717) 741-3449

25 Monument Rd
Ste 260
York, PA 17403
Phone (717) 741-3449

Interoperability endpoints

  • Direct secure messaging: tnicholson298250@upmc.direct-ci.com
  • Direct secure messaging: tnicholson65643@phsdirect.pinnaclehealth.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Upmc Pinnacle HospitalsHarrisburg, PA, CCN 390067 Hospital Corporate Director Jan 1, 2020

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1922081785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 3136",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 3136",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-741-3449",
            "fax_number": "717-741-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Monument Rd",
            "address_2": "SUITE 260",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-741-3449",
            "fax_number": "717-741-5496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD069287L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnicholson65643@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1703 Innovation Dr Ste 3136",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174088815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.