Individual provider Active NPI

Andrew James Thomas, MD

  • Otolaryngology Physician
  • Grass Valley, CA
National Provider Identifier
1922340579
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
C171386 Issued in CA
Practice address
123 Margaret LN Ste B1
Grass Valley, CA 95945-5268
Phone
(530) 410-0368
Fax
(530) 410-0864
NPI assigned
Mar 21, 2013
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD186941 OR
Otolaryngology Physician 207Y00000X 320754 LA
Otolaryngology Physician 207Y00000X C171386 CA Primary

Addresses

Primary practice location

123 Margaret LN Ste B1
Grass Valley, CA 95945-5268

Mailing address

123 Margaret LN Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368

Other practice location 1

123 Margaret Ln Ste C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191023002916 LA Practitioner - Otolaryngology 5496975799 Reassigns benefits to 1 organization
I20210723001186 CA Practitioner - Otolaryngology 5496975799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Margaret LN
Suite C1
Grass Valley, CA 95945-5268
Phone (530) 410-0368

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C171386CAMDOtolaryngology Physician
320754LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 15, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 15, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Andrew J Thomas MD Inc Otolaryngology CurrentSince Aug 1, 2021 Accepting new patients

Locations

123 Margaret Ln
Ste B1
Grass Valley, CA 95945
Phone (530) 410-0368

123 Margaret Ln
Ste C1
Grass Valley, CA 95945
Phone (530) 274-9623

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

1514 Jefferson Hwy
New Orleans, LA 70121

120 Ochsner Blvd
Terrytown, LA 70056
Phone (504) 595-8020

Organizations & group practices 4

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 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": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1922340579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MARGARET LN STE C1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455268",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MARGARET LN STE B1",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455268",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Margaret Ln Ste C1",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455268",
            "country_code": "US",
            "telephone_number": "530-410-0368",
            "fax_number": "530-410-0864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-21",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD186941",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "320754",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C171386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.