Individual provider Active NPI

Dale R Thomae, DO

  • Internal Medicine Physician
  • Ashland, OH
National Provider Identifier
1922087741
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34005824 Issued in OH
Practice address
2212 Mifflin Ave
Suite 220
Ashland, OH 44805-8848
Phone
(419) 289-6317
Fax
(419) 207-2658
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34005824 OH Primary

Addresses

Primary practice location

2212 Mifflin Ave
Suite 220
Ashland, OH 44805-8848

Mailing address

2212 Mifflin Ave
Suite 220
Ashland, OH 44805-8848
Phone (419) 289-6317

Other identifiers 1

IdentifierTypeStateIssuer
0987544MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dalethomae@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080207000034 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 1557310497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

1025 Ctr St
Ashland, OH 44805-4011
Phone (419) 289-9800

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • University Hospitals Samaritan Medical Center Hospital, Ashland, OH, CCN 360002
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy129
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34005824OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
University Primary Care Practices Inc CurrentSince Jul 1, 2016 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Ashland County, LTD. Internal Medicine Past Accepting new patients
University Primary Care Practices Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

1025 Center St
#H
Ashland, OH 44805
Phone (419) 289-0491

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: dthomae37028@ehrdirect.uhhospitals.org

Organizations & group practices 7

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 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1922087741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 220",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-289-6317",
            "fax_number": "419-207-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE",
            "address_2": "SUITE 220",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058848",
            "telephone_number": "419-289-6317",
            "fax_number": "419-207-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAE",
        "first_name": "DALE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34005824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0987544",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dalethomae@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2212 Mifflin Ave",
            "address_2": "Suite 220",
            "city": "Ashland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448058848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.