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DR. TIMOTHY THOMAS MD
NPI 1437126364
Pediatrics - Pediatric Cardiology in Nashville, TN

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: December 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2025, Oct 15, 2020, Mar 4, 2016 (3 updates tracked since 2016).

About Dr. Timothy Thomas Md NPPES

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

DR. TIMOTHY THOMAS MD (NPI 1437126364) is an individual pediatric cardiology provider in Nashville, Tennessee, licensed in Tennessee (MD36922) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Franklin, and is a graduate of Emory University School Of Medicine (2000).

NPPES Registry Identity

NPI1437126364
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. TIMOTHY THOMASCredential: MD
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · Fax (615) 322-5048
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2000
Enumeration DateFebruary 28, 2006
Last NPPES UpdateDecember 27, 20253 updates tracked since enumeration
NPPES CertifiedDecember 27, 2025
✔ NPI 1437126364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TN · MD36922
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License MD36922 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Location 1

Location 12105 Edward Curd LnFranklin, TN 37067-5662 · Phone (615) 936-2000

Other Identifiers 1

Other8K9078TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Timothy 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 ID5496648248
PECOS Enrollment IDI20140225001224
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 Reassignment

Medicare enrollment records show Timothy Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vanderbilt University Medical Center
0.1 mi
Internal Medicine
1301 22ND AVE S
Nashville, TN 37232
  • Reassigned Medicare billing, Tennessee enrollment
  • 4,711 clinicians in this Medicare group
NPI 1104202761 (615) 936-2000

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

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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

DR. ENGLISH FLACK MD
Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DANIEL K BARRETT APRN
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JACQUELYN L. GARNER PNP
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. ROBERT JAMES LENTZ M.D.
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LYNN HOLLIDAY M.D.
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. HEATHER KRETH PSY.D
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
AARON WESLEY SCOTT APN
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
DR. COLLEEN M KIERNAN M.D.
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Timothy Thomas's NPI number?

The NPI number for Timothy Thomas is 1437126364. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Timothy Thomas located?

Timothy Thomas practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Timothy Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Timothy Thomas enrolled in Medicare?

Yes. Timothy 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.

Which organization bills Medicare for Timothy Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Thomas reassigns Medicare benefits to Vanderbilt University Medical Center (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Thomas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Thomas was last updated on December 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.