Individual provider Active NPI

Deepak Thomas, MD

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1942422696
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
242089 Issued in NY
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(614) 257-5200
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25935 NE
Internal Medicine Physician 207R00000X E8018 AR
Cardiovascular Disease Physician 207RC0000X E8018 AR
Cardiovascular Disease Physician 207RC0000X 242089 NY Primary

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

420 N James Rd
Columbus, OH 43219-1834
Phone (614) 257-5369

Other practice location 1

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729

Other identifiers 1

IdentifierTypeStateIssuer
2140268MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OH2 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
I20130813000190 AR Practitioner - Cardiovascular Disease (Cardiology) 0042303679 Reassigns benefits to 3 organizations
I20240320003280 OH Practitioner - Cardiovascular Disease (Cardiology) 0042303679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians
St Bernards Hospital Inc.Group PAC ID 0941105480, 187 clinicians

Practice addresses (Care Compare)

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 972-4100

230 Medical Ctr Dr
Seaman, OH 45679-8002
Phone (937) 386-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25935NEMDInternal Medicine Physician
E8018ARMDCardiovascular Disease Physician
242089NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Cardiovascular Disease CurrentSince Apr 2, 2024 Accepting new patients
Five Rivers Medical Center CurrentSince Sep 25, 2018 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Hospital Inc. CurrentSince Aug 6, 2013 Accepting new patients
Five Rivers Medical Center Inc. CurrentSince Sep 25, 2018 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Apr 2, 2024 Accepting new patients
St Bernards Hospital Inc CurrentSince Aug 6, 2013 Accepting new patients
Emjosh Health Inc CurrentSince Sep 13, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Aeger Inpatient Services Internal Medicine Past Accepting new patients

Locations

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

201 E Oak Ave
Jonesboro, AR 72401

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

1309 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-1200

3371 Cleveland Ave
Columbus, OH 43224
Phone (614) 699-5700

Interoperability endpoints

  • Direct secure messaging: dthomas@sbpc.medalliesdirect.net

Organizations & group practices 11

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 6

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1942422696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5369",
            "fax_number": "614-388-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014163",
            "country_code": "US",
            "telephone_number": "870-935-6729",
            "fax_number": "870-268-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DEEPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "25935",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E8018",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E8018",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "242089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140268",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.