Individual provider Active NPI

Alexander Paul Thomas, D.P.M.

  • Podiatrist
  • Dearborn, MI
National Provider Identifier
1922464627
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
5901002550 Issued in MI
Practice address
7243 Chase Rd
Dearborn, MI 48126-1301
Phone
(313) 582-6222
Fax
(313) 582-0166
NPI assigned
Jan 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 5901002550 MI Primary

Addresses

Primary practice location

7243 Chase Rd
Dearborn, MI 48126-1301

Mailing address

7243 Chase Rd
Dearborn, MI 48126-1301
Phone (313) 582-6222

Other identifiers 1

IdentifierTypeStateIssuer
1922464627MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212000380 MI Practitioner - Podiatry 4183928005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7243 Chase Rd
Dearborn, MI 48126-1301
Phone (313) 582-6222

Merit-based Incentive Payment System (MIPS)

Final score
43.9 of 100Reported as individual
Quality
0
Promoting interoperability
63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue928
Removal or shaving of skin growth515
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002550MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Thomas DPM PC Podiatrist CurrentSince Nov 1, 2016 Accepting new patients

Locations

7243 Chase Rd
Dearborn, MI 48126
Phone (313) 582-6222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1922464627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301",
            "telephone_number": "313-582-6222",
            "fax_number": "313-582-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 CHASE RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261301",
            "telephone_number": "313-582-6222",
            "fax_number": "313-582-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALEXANDER",
        "middle_name": "PAUL",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922464627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.