DR. ALFRED JOSEPH THOMAS IV MD
NPI 1093400996
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since April 06, 2023PECOS Enrolled
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0434 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Apr 11, 2023, Apr 6, 2023 (3 updates tracked since 2023).

About Dr. Alfred Joseph Thomas Iv Md NPPES

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

DR. ALFRED JOSEPH THOMAS IV MD (NPI 1093400996) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093400996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ALFRED JOSEPH THOMAS IVCredential: MD
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0434
Sole ProprietorNo
Enumeration DateApril 6, 2023
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1093400996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1501 KINGS HWY, Shreveport, LA 71103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alfred Joseph Thomas Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

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 Alfred Thomas's NPI number?

The NPI number for Alfred Thomas is 1093400996. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Alfred Thomas located?

Alfred Thomas practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0434.

What is Alfred Thomas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alfred Thomas enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alfred Thomas was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.