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THOMAS PAUL AVILES MD
NPI 1093342479
Pediatrics - Pediatric Gastroenterology in Cincinnati, OH

Active since March 25, 2020PECOS Enrolled
3333 BURNET AVENUE, MLC 2010, CINCINNATI, OH 45229(513) 636-8948(513) 636-7805 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2026, Jun 20, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Thomas Paul Aviles Md NPPES

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

THOMAS PAUL AVILES MD (NPI 1093342479) is an individual pediatric gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35.147635) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Florida Atlantic University, College Of Medicine (2020).

NPPES Registry Identity

NPI1093342479
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameTHOMAS PAUL AVILESCredential: MD
Location Address3333 BURNET AVENUE, MLC 2010Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Mlc 2010Cincinnati, OH 45229-3026 · (513) 636-8948 · Fax (513) 636-7805
Phone(513) 636-8948
Fax(513) 636-7805
Sole ProprietorNo
Medical School CMSFlorida Atlantic University, College Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1093342479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in OH · 35.147635
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3333 BURNET AVENUE, Cincinnati, OH 45229
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19560 Children DrMason, OH 45040-9362 · Phone (513) 636-6800
Location 22765 Chapel PlCrestview Hills, KY 41017-3413 · Phone (859) 344-5390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5092273680
PECOS Enrollment IDI20260813003963
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Aviles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Medical Center
Same address
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM A. VUKOVIC M.D.
Pediatrics (Pediatric Emergency Medicine)
3333 BURNET AVENUE, ML 2008
CINCINNATI, OH 45229
Hamilton County (513) 636-7966
DR. AMIL H. ALLEN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3333 BURNET AVENUE, ML 7009
CINCINNATI, OH 45229
Hamilton County (513) 636-4830
KRISTIN A. SCHNEIDER M.D.
Pediatrics (Pediatric Cardiology)
3333 BURNET AVENUE, MLC 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
TAMIKA AULD APRN-CNP
Nurse Practitioner
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
KAYE GAFFNEY LISW
Social Worker
3333 BURNET AVENUE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
MICHAEL W MELLON PHD
Psychologist (Clinical)
3333 BURNET AVENUE, ML 5021
CINCINNATI, OH 45229
Hamilton County (513) 636-4225
JEAN HARRINGTON MD
Anesthesiology (Pediatric Anesthesiology)
3333 BURNET AVENUE, ML 2001
CINCINNATI, OH 45229
Hamilton County (513) 636-4408
DR. ANTHONY JOSEPH SABULSKI M.D.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVENUE, ML 11027
CINCINNATI, OH 45229
Hamilton County (513) 517-2234

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 Thomas Aviles's NPI number?

The NPI number for Thomas Aviles is 1093342479. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Thomas Aviles located?

Thomas Aviles practices at 3333 Burnet Avenue Mlc 2010, Cincinnati, OH 45229. The listed phone number is (513) 636-8948.

What is Thomas Aviles's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Thomas Aviles enrolled in Medicare?

Yes. Thomas Aviles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Aviles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Aviles reassigns Medicare benefits to Children's Hospital Medical Center (Cincinnati, OH). The 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 Thomas Aviles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Aviles accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Thomas Aviles 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 Thomas Aviles was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.