TARA Y THOMAS MD
NPI 1427252329
Pediatrics in Maplewood, MN

Q: What is Tara Thomas's NPI number?

The NPI number for Tara Thomas is 1427252329. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is Tara 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 Tara Thomas was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 13, 2007PECOS Enrolled

2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 523-9800(651) 523-9801 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 23, 2022, Jun 27, 2016, Jun 23, 2016 (3 updates tracked since 2016).

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About Tara Y Thomas Md NPPES

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

TARA Y THOMAS MD (NPI 1427252329) is an individual pediatrics provider in Maplewood, Minnesota, licensed in Minnesota (60603) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427252329

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTARA Y THOMASCredential: MD

Location Address2165 WHITE BEAR AVE NMaplewood, MN 55109-2707

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516

Phone(651) 523-9800

Fax(651) 523-9801

Sole ProprietorNo

Enumeration DateJune 13, 2007

Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1427252329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 60603

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.

2165 WHITE BEAR AVE N, Maplewood, MN 55109

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Y Thomas Md 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.

Medicare Billing Reassignments

Medicare enrollment records show Tara Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Clinics

2.2 mi

Clinic/Center

1414 MARYLAND AVE E
Saint Paul, MN 55106

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1124652557 (651) 772-3461

Fairview Health Services

11 mi

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

JENNIFER NOVAK

Nurse Practitioner (Gerontology)