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

Active since September 19, 2012PECOS Enrolled
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: August 23, 2026.

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 is enrolled in Medicare PECOS.

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
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

George Thekkanattu Thomas Pa-c 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.

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?

Yes. George Thomas is registered in the Medicare PECOS enrollment system.

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.