DR. THOMAS E NOGUEIRA M.D.
NPI 1205874450
Radiology - Diagnostic Radiology in Edgewood, KY
About Dr. Thomas E Nogueira M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS E NOGUEIRA M.D. (NPI 1205874450) is an individual diagnostic radiology provider in Edgewood, Kentucky, licensed in Ohio (35076092) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Dearborn Hospital, and maintains a secondary practice location in Blue Ash.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
Accepted Insurance
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 E Nogueira M.d. 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 Reassignments
2Medicare enrollment records show Thomas Nogueira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edgewood, KY 41017
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 32 clinicians in this Medicare group
Blue Ash, OH 45242
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 35 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 47
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Dearborn Hospital
Acute Care Hospitals · Lawrenceburg, INSt Elizabeth Ft Thomas
Acute Care Hospitals · Fort Thomas, KYSt Elizabeth Edgewood
Acute Care Hospitals · Edgewood, KYSt Elizabeth Florence
Acute Care Hospitals · Florence, KYSt Elizabeth Grant
Critical Access Hospitals · Williamstown, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41017 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.
Reported Quality Measures
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.
EDGEWOOD, KY 41017
EDGEWOOD, KY 41017
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 Nogueira's NPI number?
The NPI number for Thomas Nogueira is 1205874450. It was assigned to this individual provider in the NPPES registry on June 2, 2006.
Where is Thomas Nogueira located?
Thomas Nogueira practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (610) 477-6147.
What is Thomas Nogueira's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Thomas Nogueira enrolled in Medicare?
Yes. Thomas Nogueira 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 organizations bill Medicare for Thomas Nogueira's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Nogueira reassigns Medicare benefits to 2 organizations: Radiology Associates Of Northern Kentucky, PLLC (Edgewood, KY) and Professional Radiology Inc. (Blue Ash, OH). Each 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 Nogueira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Nogueira accept?
Health plans from CareSource and Oscar Health Insurance list Thomas Nogueira 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.
Is Thomas Nogueira affiliated with any hospitals?
According to CMS data, Thomas Nogueira is affiliated with St Elizabeth Dearborn Hospital, St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.
When was this NPI record last updated?
The NPPES record for Thomas Nogueira was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.