Individual provider Active NPI

Blaine Thomas, M.D.

  • Anesthesiology Physician
  • Baton Rouge, LA
National Provider Identifier
1922195213
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10076R Issued in LA
Practice address
8212 Kelwood Ave
Baton Rouge, LA 70806-4801
Phone
(225) 929-7600
Fax
(225) 930-7524
NPI assigned
Oct 6, 2006
Last updated
Mar 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 10076R LA Primary

Addresses

Primary practice location

8212 Kelwood Ave
Baton Rouge, LA 70806-4801

Mailing address

2644 S Sherwood Forest Blvd
Ste 121
Baton Rouge, LA 70816-2248
Phone (225) 293-2523

Other identifiers 4

IdentifierTypeStateIssuer
1693316MedicaidLA
721435817TOtherLAHUMANA PROVIDER NUMBER
G44006OtherLASTERLING PROVIDER NUMBER
050071038OtherLARR MEDICARE PROVIDER NUMB

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
I20120423000423 LA Practitioner - Anesthesiology 6305949272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Anesthesiology Group L.L.C.Group PAC ID 6507758505, 36 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 468-6070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10076RLAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Services Past Accepting new patients
St. Tammany Pathology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1922195213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 S SHERWOOD FOREST BLVD",
            "address_2": "STE 121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162248",
            "telephone_number": "225-293-2523",
            "fax_number": "225-293-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 KELWOOD AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064801",
            "telephone_number": "225-929-7600",
            "fax_number": "225-930-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BLAINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "10076R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693316",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "721435817T",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING PROVIDER NUMBER",
            "identifier": "G44006",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NUMB",
            "identifier": "050071038",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.