THOMAS K THOMAS MD PC
NPI 1083606677
Family Medicine in Eastpointe, MI

Active since August 18, 2005
22480 KELLY RD, SUITE 2, EASTPOINTE, MI 48021(586) 776-3340(586) 778-6460 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas K Thomas Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS K THOMAS MD PC (NPI 1083606677) is a healthcare organization registered as a family medicine in Eastpointe, Michigan and active in the NPI registry since August 2005. The organization lists Thomas K Thomas, Physician, as its authorized official.

NPPES Registry Identity

NPI1083606677
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameT.K THOMAS MD PC
Location Address22480 KELLY RD, SUITE 2Eastpointe, MI 48021-2623
Mailing Address842 Moorland DrGrosse Pointe Woods, MI 48236-1129 · (586) 776-3340 · Fax (586) 778-6460
Fax(586) 778-6460
Organization SubpartNo
Authorized OfficialThomas K ThomasPhysician · (586) 776-3340
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1083606677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301040256
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
22480 KELLY RD, Eastpointe, MI 48021

Other Names 2

Doing Business AsThomas K Thomas Md Pc
Doing Business AsThomas K Thomas Md Pc

Other Identifiers 4

Other71020001500026MI · Bc Bs Of Michigan
Medicare UPINB43982MI
Medicaid1361698MI
Medicare PIN0P52560MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas K Thomas Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20080207000169Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas K Thomas MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1376732073
22480 KELLY RD SUITE 2
Eastpointe, MI 48021
(586) 776-3340
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is T.K Thomas MD PC's NPI number?

The NPI number for T.K Thomas MD PC is 1083606677. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider is doing business as Thomas K Thomas MD PC and Thomas K Thomas MD PC.

Where is T.K Thomas MD PC located?

T.K Thomas MD PC is located at 22480 Kelly Rd Suite 2, Eastpointe, MI 48021. The listed phone number is (586) 776-3340.

What is T.K Thomas MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is T.K Thomas MD PC enrolled in Medicare?

Yes. T.K Thomas MD PC is registered in the Medicare PECOS enrollment system.

When is T.K Thomas MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through T.K Thomas MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to T.K Thomas MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does T.K Thomas MD PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list T.K Thomas MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for T.K Thomas MD PC was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.