Individual provider Active NPI

Anil K Thomas, MD

  • Pulmonary Disease Physician
  • Clinton Township, MI
National Provider Identifier
1972619179
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
AT037132 Issued in MI
Practice address
43171 Dalcoma Dr
Ste 11-B
Clinton Township, MI 48038
Phone
(586) 263-0670
Fax
(586) 263-6202
NPI assigned
Aug 21, 2006
Last updated
Mar 30, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X AT037132 MI Primary

Addresses

Primary practice location

43171 Dalcoma Dr
Ste 11-B
Clinton Township, MI 48038

Mailing address

43171 Dalcoma Dr
Ste 11-B
Clinton Township, MI 48038
Phone (586) 263-0670

Other identifiers 1

IdentifierTypeStateIssuer
2905017822OtherMIMICH BLUE SHIELD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110121000963 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0840479804 Practice locations: Clinton Township, MI

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

43171 Dalcoma Dr
Suite 9
Clinton Township, MI 48048-6307
Phone (586) 263-0670

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AT037132MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Center P.C PastSince Jun 30, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: athomas57138@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1972619179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "STE 11-B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-0670",
            "fax_number": "586-263-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43171 DALCOMA DR",
            "address_2": "STE 11-B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-0670",
            "fax_number": "586-263-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "AT037132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICH BLUE SHIELD",
            "identifier": "2905017822",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.