1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

THOMAS WAITES DO
NPI 1154181527
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 21, 2024PECOS Enrolled
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Waites Do NPPES

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

THOMAS WAITES DO (NPI 1154181527) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154181527
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHOMAS WAITESCredential: DO
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468 · (574) 335-6500
Phone(574) 335-6500
Sole ProprietorYes
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1154181527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

611 E DOUGLAS RD STE 407, Mishawaka, IN 46545
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Waites Do 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.

DR. ALLYSON BRIANNE BRUNET SLUSSER DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIRANDA MACFARLANE PHARMD
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
PETER CARL CHRISTIAN BECK MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
JOSEPH ALAN STOLDT PHARMD
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ANNIE WU DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
AMELLE CHRISTINE ALDURRA DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIA LAMBERT MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MARANDA EMILY ARMSTEAD DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500

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 Waites's NPI number?

The NPI number for Thomas Waites is 1154181527. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Thomas Waites located?

Thomas Waites practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Thomas Waites's specialty?

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

Is Thomas Waites enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Thomas Waites was last updated on March 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.