JERRY MATHEW THOMAS
NPI 1205395126
Radiology - Pediatric Radiology in Philadelphia, PA
About Jerry Mathew Thomas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY MATHEW THOMAS (NPI 1205395126) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230461) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jerry Mathew Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jerry Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Jerry Thomas's NPI number?
The NPI number for Jerry Thomas is 1205395126. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Jerry Thomas located?
Jerry Thomas practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 590-7000.
What is Jerry Thomas's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.
Is Jerry Thomas enrolled in Medicare?
Yes. Jerry Thomas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jerry Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Thomas reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). 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 Jerry Thomas'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 Jerry Thomas was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jerry Mathew Thomas · NPI 1205395126
Pediatric Radiology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1205395126 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Radiology - Pediatric Radiology · taxonomy 2085P0229X
- **State license:** MT230461 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 CIVIC CENTER BLVD, Philadelphia, PA 19104-4319
- **Phone:** (267) 590-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205395126) · Data from the CMS NPPES public registry.