Individual provider Active NPI

Maxwell Steven Thomas, M.D.

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1972091429
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A164898 Issued in CA
Practice address
8737 Beverly Blvd
Suite 203
West Hollywood, CA 90048-1840
Phone
(323) 525-1118
Fax
(818) 303-1306
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A164898 CA Primary

Addresses

Primary practice location

8737 Beverly Blvd
Suite 203
West Hollywood, CA 90048-1840

Mailing address

Synergy Hematology Oncology Medical Associates Inc
P.O. Box 48107
Los Angeles, CA 90048-0107
Phone (323) 525-1118

Other identifiers 1

IdentifierTypeStateIssuer
744168007MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210811004161 CA Practitioner - Internal MedicinePractitioner - Hospitalist 6709280803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Synergy Hematology Oncology Medical Associates IncGroup PAC ID 8921091810, 7 clinicians

Practice addresses (Care Compare)

8737 Beverly Blvd
Suite 203
West Hollywood, CA 90048-1840
Phone (323) 525-1111

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
0
Promoting interoperability
92
Improvement activities
40
Cost
58.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A164898CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Apr 8, 2022 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Synergy Hematology Oncology Medical Associates Inc CurrentSince Sep 1, 2021 Accepting new patients
Synergy Hematology Oncology Medical Associates, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 8, 2022 Accepting new patients

Locations

5363 Balboa Blvd
Ste 345
Encino, CA 91316
Phone (818) 728-8444

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

8737 Beverly Blvd
Ste 203
West Hollywood, CA 90048
Phone (310) 659-9958

Organizations & group practices 5

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 2

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1972091429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES INC",
            "address_2": "P.O. BOX 48107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900480107",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BEVERLY BLVD",
            "address_2": "SUITE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481840",
            "telephone_number": "323-525-1118",
            "fax_number": "818-303-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MAXWELL",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744168007",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.