Active NPI
Adele A Thiel, M.D.
- Neurology Physician
- Flowood, MS
National Provider Identifier
1992810691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 12161
- Practice address
- 1020 River Oaks Dr
Suite 420
Flowood, MS 39232-9500 - Phone
- (601) 939-4198
- Fax
- (601) 939-4120
- NPI assigned
- Aug 20, 2006
- Last updated
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12161 | MS | |
| Neurology Physician | 2084N0400X | 12161 | MS | Primary |
Addresses
Primary practice location
1020 River Oaks Dr
Suite 420
Flowood, MS 39232-9500
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-5500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013832 | Medicaid | MS | |
| 130010501 | Other | MS | RAILROAD MEDICARE |
| 0114179 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Mississippi School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-4775
Hospital & facility affiliations
- University of Mississippi Med Center
- Mississippi Methodist Rehab Ctr
- Jasper General Hospital
- Merit Health Madison
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.94 of 100
- Quality
- 67.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12161 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Clinics, Inc. | Past | Accepting new patients |
Interoperability endpoints
- cthiel16684@ummc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Neurology Physician
- Flowood, MS
- NPI 1144327420
-
dba Ellisville Pediatric Clinic
- Rural Health Clinic/Center
- Ellisville, MS
- NPI 1427098003
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay Springs, MS
- NPI 1396730164
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1205604071
Hospital
-
dba Methodist Rehab Center
- General Acute Care Hospital
- Jackson, MS
- NPI 1841349792
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Merit Health Madison
- General Acute Care Hospital
- Canton, MS
- NPI 1194770404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539561600000",
"number": "1992810691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5500",
"fax_number": "601-984-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 RIVER OAKS DR",
"address_2": "SUITE 420",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329500",
"telephone_number": "601-939-4198",
"fax_number": "601-939-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "ADELE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2018-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "12161",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "12161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013832",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130010501",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114179",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.