Individual provider Active NPI

Ian James Thomas, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Phoenix, AZ
National Provider Identifier
1982863429
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
005782 Issued in AZ
Practice address
9250 N 3Rd St
Suite 3015
Phoenix, AZ 85020-2437
Phone
(602) 300-4830
Fax
(602) 995-3795
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 390200000X TX
Surgery Physician 208600000X 036139212 IL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 005782 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St
Suite 3015
Phoenix, AZ 85020-2437

Mailing address

6120 W Bell Rd
Ste 130
Glendale, AZ 85308-3782
Phone (623) 512-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 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
I20120405000518 AZ Practitioner - Emergency Medicine 0244491983 Reassigns benefits to 1 organization
I20170724001028 AZ Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 0244491983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Arizona College of Osteopathic Medicine Mid Western University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005782AZMDEmergency Medical Services (Emergency Medicine) Physician
390200000XTXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Oct 1, 2017 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 20, 2020 Accepting new patients
Banner Physician Specialists Arizona LLC Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Oct 1, 2017 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 30, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 20, 2020 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Apr 30, 2023 Accepting new patients
Banner Thunderbird Medical Center Past Accepting new patients
Banner - University Medical Center Phoenix Past Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E151
Glendale, AZ 85306
Phone (602) 843-3811

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cooke Family HealthPhiladelphia, PA, CCN 391970 Federally qualified health center Corporate Director Jul 22, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 1

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1982863429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "STE 130",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083782",
            "telephone_number": "623-512-4326",
            "fax_number": "623-512-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 3015",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202437",
            "telephone_number": "602-300-4830",
            "fax_number": "602-995-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036139212",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "AZ",
            "license": "005782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.