DR. TISA ELIZABETH THOMAS MD
NPI 1316688666
Pediatrics in Santa Cruz, CA

Q: What is Tisa Thomas's NPI number?

The NPI number for Tisa Thomas is 1316688666. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Tisa Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tisa Thomas was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 01, 2022PECOS Enrolled

2025 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 458-5555 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Tisa Elizabeth Thomas Md NPPES

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

DR. TISA ELIZABETH THOMAS MD (NPI 1316688666) is an individual pediatrics provider in Santa Cruz, California, licensed in California (A205549) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316688666

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. TISA ELIZABETH THOMASCredential: MD

Location Address2025 SOQUEL AVESanta Cruz, CA 95062-1323

Mailing Address2025 Soquel AveSanta Cruz, CA 95062-1323 · (831) 458-5555

Phone(831) 458-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 1, 2022

Last NPPES UpdateNovember 10, 2025

NPPES CertifiedNovember 10, 2025

✔ NPI 1316688666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A205549

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2025 SOQUEL AVE, Santa Cruz, CA 95062

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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)

Dr. Tisa Elizabeth Thomas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931589967

PECOS Enrollment IDI20251203002925

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95062 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$109.72 typical visit price

range $21.02 – $153.16

Typical copayment $27.43 (range $5.25 – $38.29)

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.

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.

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Physical Therapist