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NINI C THOMAS MD
NPI 1437200557
Internal Medicine - Endocrinology, Diabetes & Metabolism in West Lafayette, IN

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
3315 HUMBOLDT ST, WEST LAFAYETTE, IN 47906(412) 260-1748 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Sep 3, 2019, Jun 18, 2019 and 1 more (4 updates tracked since 2016).

About Nini C Thomas Md NPPES

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

NINI C THOMAS MD (NPI 1437200557) is an individual endocrinology, diabetes & metabolism provider in West Lafayette, Indiana, licensed in Indiana (01082807A) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437200557
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameNINI C THOMASCredential: MD
Location Address3315 HUMBOLDT STWest Lafayette, IN 47906-7204
Mailing Address3315 Humboldt StWest Lafayette, IN 47906-7204 · (412) 260-1748
Phone(412) 260-1748
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1437200557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in IN · 01082807A✔ Licensed in WI · 14166-320✔ Licensed in PA · MD429968
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3315 HUMBOLDT ST, West Lafayette, IN 47906
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11850 E Park Ave, Ste 312State College, PA 16803-6706 · Phone (814) 689-3156 · Fax (814) 689-1954
Location 2704 S Webster Ave Ste 501Green Bay, WI 54301-3528 · Phone (920) 433-6050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Nini C 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 ID9436150968
PECOS Enrollment IDI20251111001001
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

2

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

Bellin Memorial Hospital Inc
253 mi
Family Medicine
3415 CALUMET AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1992878730 (920) 445-7377
Oconto Hospital & Medical Center Inc
277 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services108 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
27 services20 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
14 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers40 claims127 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims16 services$0.78 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
2 suppliers11 claims1,560 services$7.10 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
9 suppliers212 claims217 services$180.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nini Thomas's NPI number?

The NPI number for Nini Thomas is 1437200557. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Nini Thomas located?

Nini Thomas practices at 3315 Humboldt St, West Lafayette, IN 47906. The listed phone number is (412) 260-1748.

What is Nini Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nini Thomas enrolled in Medicare?

Yes. Nini 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 organizations bill Medicare for Nini Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nini Thomas reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc (Manitowoc, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). Each 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 Nini Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nini Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Nini 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.

Is Nini Thomas affiliated with any hospitals?

According to CMS data, Nini Thomas is affiliated with Memorial Hospital, Franciscan Health Lafayette and Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nini Thomas was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.