TARUN RAJAN THOMAS
NPI 1467139261
Family Medicine in Sheboygan, WI

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment
1813 ASHLAND AVE, SHEBOYGAN, WI 53081(920) 458-4010 Get Directions Write a Review

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

Record update history: Aug 25, 2026, Jul 3, 2023 (2 updates tracked since 2023).

About Tarun Rajan Thomas NPPES

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

TARUN RAJAN THOMAS (NPI 1467139261) is an individual family medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (100049-851) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467139261
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTARUN RAJAN THOMAS
Location Address1813 ASHLAND AVESheboygan, WI 53081-6125
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 3, 2023
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1467139261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 100049-851
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1813 ASHLAND AVE, Sheboygan, WI 53081

Secondary Practice Location 1

Location 19200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-3000

Other Identifiers 1

Medicaid100317187WI

Accepted 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

Tarun Rajan Thomas 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 ID7517313877
PECOS Enrollment IDI20260611001582
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 Tarun Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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 53081 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Nurse Practitioner
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Family Medicine
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Physical Therapist
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Social Worker (Clinical)
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Durable Medical Equipment & Medical Supplies
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Physical Therapist
1813 ASHLAND AVE
SHEBOYGAN, WI 53081
Physical Therapist
1813 ASHLAND AVE
SHEBOYGAN, WI 53081

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 Tarun Thomas's NPI number?

The NPI number for Tarun Thomas is 1467139261. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Tarun Thomas located?

Tarun Thomas practices at 1813 Ashland Ave, Sheboygan, WI 53081. The listed phone number is (920) 458-4010.

What is Tarun Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tarun Thomas enrolled in Medicare?

Yes. Tarun 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 Tarun Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarun Thomas reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). 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 Tarun Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tarun Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Tarun 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 Tarun Thomas was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.