GEORGE THEKKANATTU THOMAS PA-C
NPI 1336499151
Physician Assistant - Medical in College Park, MD

Q: What is George Thomas's NPI number?

The NPI number for George Thomas is 1336499151. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is George Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is George Thomas enrolled in Medicare?

No. George Thomas has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for George Thomas was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 19, 2012Opted out of Medicare · through Jul 1, 2028

BUILDING 140 CAMPUS DRIVE, UNIVERSITY HEALTH CENTER, COLLEGE PARK, MD 20742(301) 314-8095 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About George Thekkanattu Thomas Pa-c NPPES

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

GEORGE THEKKANATTU THOMAS PA-C (NPI 1336499151) is an individual medical provider in College Park, Maryland, licensed in Maryland (C0004724) and active in the NPI registry since September 2012. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336499151

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameGEORGE THEKKANATTU THOMASCredential: PA-C

Location AddressBUILDING 140 CAMPUS DRIVE, UNIVERSITY HEALTH CENTERCollege Park, MD 20742

Mailing Address8163 Mandan TerGreenbelt, MD 20770-2643 · (301) 247-0844

Phone(301) 314-8095

Sole ProprietorNo

Enumeration DateSeptember 19, 2012

Last NPPES UpdateFebruary 23, 2016

✔ NPI 1336499151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C0004724

BUILDING 140 CAMPUS DRIVE, College Park, MD 20742

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

George Thekkanattu Thomas Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 George Thomas's NPI number?

The NPI number for George Thomas is 1336499151. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is George Thomas located?

George Thomas practices at Building 140 Campus Drive University Health Center, College Park, MD 20742. The listed phone number is (301) 314-8095.

What is George Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is George Thomas enrolled in Medicare?

No. George Thomas has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for George Thomas was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.