DR. THOMAS M LOUGHNEY MD
NPI 1164538484
Internal Medicine - Gastroenterology in Washington, DC
About Dr. Thomas M Loughney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS M LOUGHNEY MD (NPI 1164538484) is an individual gastroenterology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD33485) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Thomas M Loughney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Thomas Loughney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 15
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WASHINGTON, DC 20016
WASHINGTON, DC 20016
WASHINGTON, DC 20016
WASHINGTON, DC 20016
WASHINGTON, DC 20016
WASHINGTON, DC 20016
WASHINGTON, DC 20016
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 Loughney's NPI number?
The NPI number for Thomas Loughney is 1164538484. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is Thomas Loughney located?
Thomas Loughney practices at 3301 New Mexico Ave NW #202, Washington, DC 20016. The listed phone number is (202) 966-3376.
What is Thomas Loughney's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Thomas Loughney enrolled in Medicare?
Yes. Thomas Loughney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Thomas Loughney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Loughney reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). 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 Loughney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Thomas Loughney was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Thomas M Loughney, MD · NPI 1164538484
Gastroenterology physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1164538484 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD33485 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3301 NEW MEXICO AVE NW, #202, Washington, DC 20016
- **Phone:** (202) 966-3376 · **Fax:** (202) 966-5375
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1205562816, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Georgetown University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** July 15, 2013
- **Other identifiers:** Medicare PIN 009232C70; Medicare UPIN H58626
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Source: [NPI Profile](https://npiprofile.com/npi/1164538484) · Data from the CMS NPPES public registry.