Individual provider Active NPI

Deslene Thomas, MD

  • General Practice Physician
  • Campbell Hall, NY
National Provider Identifier
1962086868
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
010554 Issued in NY
Practice address
23 Kiernan Rd
Campbell Hall, NY 10916-2200
Phone
(845) 294-8154
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 010554 NY Primary

Addresses

Primary practice location

23 Kiernan Rd
Campbell Hall, NY 10916-2200

Mailing address

741 Frost Ave
Peekskill, NY 10566-4637
Phone (516) 457-9514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230712002134 NY Practitioner - General Practice 4284094020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
88.19
Improvement activities
40
Cost
64.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010554NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ion Oltean Physician PC CurrentSince Dec 18, 2023 Accepting new patients
RB Heart and Vascular Care PLLC CurrentSince May 1, 2024 Accepting new patients
Py Medical PLLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

22 Robert R Kasin Way
Beacon, NY 12508
Phone (845) 231-5792

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

23 Kiernan Rd
Campbell Hall, NY 10916
Phone (404) 287-4401

161 Jefferson Hts
Catskill, NY 12414
Phone (205) 535-7389

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

130 Lake Ave S
Nesconset, NY 11767
Phone (631) 636-0620

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1962086868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 FROST AVE",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664637",
            "telephone_number": "516-457-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 KIERNAN RD",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162200",
            "telephone_number": "845-294-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DESLENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "010554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell Hall, NY

Sources for this page

Verify at the official NPI Registry.