1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Internal Medicine
  6. NPI Profile

NITHIN THOMAS MD
NPI 1235543992
Internal Medicine - Hematology in Atlanta, GA

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
1365 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Jul 15, 2019 (2 updates tracked since 2019).

About Nithin Thomas Md NPPES

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

NITHIN THOMAS MD (NPI 1235543992) is an individual hematology provider in Atlanta, Georgia, licensed in Georgia (103954) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1235543992
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameNITHIN THOMASCredential: MD
Location Address1365 CLIFTON RD NEAtlanta, GA 30322-1501
Mailing Address1365 Clifton Road, Building B, Suite B4000Atlanta, GA 30322
Phone(404) 712-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2014
Last NPPES UpdateApril 8, 20252 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1235543992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in GA · 103954
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License R6120 (TX)
1365 CLIFTON RD NE, Atlanta, GA 30322
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nithin Thomas 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.

PECOS PAC ID1557615127
PECOS Enrollment IDI20250709003525
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$36.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CHHAYA J GANDHI PA-C
Physician Assistant (Medical)
1365 CLIFTON RD NE, SUITE A 4325
ATLANTA, GA 30322
Dekalb County (404) 778-3914
ELIZABETH IKEDA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-8311
MS. NIVES KERAN PA-C
Physician Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-1900
DR. ALVIN R SOLOMON M.D.
Dermatology
1365 CLIFTON RD NE, DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30322
Dekalb County (404) 727-3669
LINDSAY C GRAMER PAAA
Anesthesiologist Assistant
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5000
SACHIN PARIKH MD
Radiology (Diagnostic Radiology)
1365 CLIFTON RD NE, BREAST IMAGING CENTER, WINSHIP C
ATLANTA, GA 30322
Dekalb County (404) 778-1856
JULIE SCHNEIDER LEVY ACNP
Nurse Practitioner (Acute Care)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 712-2000
GERARD M MCGORISK MD
Internal Medicine (Cardiovascular Disease)
1365 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5299

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 Nithin Thomas's NPI number?

The NPI number for Nithin Thomas is 1235543992. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Nithin Thomas located?

Nithin Thomas practices at 1365 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-2000.

What is Nithin Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Nithin Thomas enrolled in Medicare?

Yes. Nithin Thomas 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.

What insurance does Nithin Thomas accept?

Health plans from Blue Cross and Blue Shield of Texas list Nithin Thomas 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 Nithin Thomas affiliated with any hospitals?

According to CMS data, Nithin Thomas is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Nithin Thomas was last updated on April 8, 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.