Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK STEVEN THOMAS
NPI 1215622717
Pediatrics - Pediatric Cardiology in Salt Lake City, UT

Q: What is Jack Thomas's NPI number?

The NPI number for Jack Thomas is 1215622717. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Jack Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jack Thomas was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.

Active since April 10, 2023PECOS Enrolled

81 S MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112(801) 662-5700 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2026, Jul 8, 2026, Apr 10, 2023 (3 updates tracked since 2023).

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About Jack Steven Thomas NPPES

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

JACK STEVEN THOMAS (NPI 1215622717) is an individual pediatric cardiology provider in Salt Lake City, Utah, licensed in Utah (14281227-1204) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215622717

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameJACK STEVEN THOMAS

Location Address81 S MARIO CAPECCHI DR RM 4E217Salt Lake City, UT 84112-5888

Mailing Address81 S Mario Capecchi Dr Rm 4e217Salt Lake City, UT 84112-5888 · (801) 662-5700

Phone(801) 662-5700

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1215622717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in UT · 14281227-1204

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 6384 (TN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

81 S MARIO CAPECCHI DR RM 4E217, Salt Lake City, UT 84112

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Steven Thomas 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN ROBERT SELLERS

Pediatrics (Pediatric Cardiology)