SHEILA M THOMAS MD
NPI 1518965128
Family Medicine in Memphis, TN

Q: What is Sheila Thomas's NPI number?

The NPI number for Sheila Thomas is 1518965128. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Sheila Thomas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sheila Thomas was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 08, 2005PECOS EnrolledAccepts Medicare Assignment

90.45/100

CMS Quality Rating

6005 PARK AVE, 728 B, MEMPHIS, TN 38119(901) 685-2311(901) 761-4062 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Sheila M Thomas Md NPPES

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

SHEILA M THOMAS MD (NPI 1518965128) is an individual family medicine provider in Memphis, Tennessee, licensed in Tennessee (23480) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518965128

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHEILA M THOMASCredential: MD

Location Address6005 PARK AVE, 728 BMemphis, TN 38119-5202

Mailing Address6005 Park Ave, 728 BMemphis, TN 38119-5202 · (901) 685-2311 · Fax (901) 761-4062

Phone(901) 685-2311

Fax(901) 761-4062

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1990

Enumeration DateJuly 8, 2005

Last NPPES UpdateJuly 25, 2023

NPPES CertifiedJuly 25, 2023

✔ NPI 1518965128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TN · 23480✔ Licensed in MS · 31945

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.

6005 PARK AVE, Memphis, TN 38119

Open in Google Maps ↗

Secondary Practice Locations 2

Location 18040 Wolf River Blvd Ste 103Germantown, TN 38138-1773 · Phone (901) 725-8606 · Fax (901) 759-9254

Location 27736 Airways BlvdSouthaven, MS 38671-5306 · Phone (662) 772-3700 · Fax (662) 772-3719

Other Identifiers 2

Medicaid3861907TN

Medicaid3861909TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Sheila M 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 ID7810958345

PECOS Enrollment IDI20041019000823

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 Sheila Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Memorial Medical Group Inc

6.6 mi

Internal Medicine

8970 WINCHESTER RD
Memphis, TN 38125

Reassigned Medicare billing, Mississippi and Tennessee enrollments
494 clinicians in this Medicare group

NPI 1306089206 (901) 227-4068

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 4

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

43 services32 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services32 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.

41 services22 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

20 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38119 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

90.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.8

Improvement Activities

Cost

64.69

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.

SILVER ANGELS OF TENNESSEE - SHELBY, LLC

In Home Supportive Care

6005 PARK AVE, SUITE 111
MEMPHIS, TN 38119

Shelby County (901) 791-2174

LEONARD HARVEY HINES MD

Surgery

6005 PARK AVE, SUITE 821-B
MEMPHIS, TN 38119

Shelby County (901) 726-1056

SCOLIOSIS & SPINE SURGERY CLINIC OF MEMPHIS PLLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

6005 PARK AVE, SUITE 400
MEMPHIS, TN 38119

Shelby County (901) 767-9500

FAMILY CANCER CENTER, PLLC

Internal Medicine (Hematology & Oncology)

6005 PARK AVE, 1000-B
MEMPHIS, TN 38119

Shelby County (901) 685-5655

MR. LOUIS DANIEL PAGANO SR. LICENSED OPTICIAN

Technician/Technologist (Optician)

6005 PARK AVE, SUITE #100 ST FRANCIS OPTICAL DISP
MEMPHIS, TN 38119

Shelby County (901) 761-2390

MARY HAMM LCSW

Social Worker (Clinical)

6005 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 767-1136

DR. RUTH ANNE BRIDGES

Anesthesiology

6005 PARK AVE
MEMPHIS, TN 38119

Shelby County (901) 682-2872

SUE STOVALL RN

Registered Nurse (Psychiatric/Mental Health)

6005 PARK AVE, SUITE 630B
MEMPHIS, TN 38119

Shelby County (901) 767-1136

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 Sheila Thomas's NPI number?

The NPI number for Sheila Thomas is 1518965128. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Sheila Thomas located?

Sheila Thomas practices at 6005 Park Ave 728 B, Memphis, TN 38119. The listed phone number is (901) 685-2311.

What is Sheila Thomas's specialty?

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

Is Sheila Thomas enrolled in Medicare?

Yes. Sheila 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 Sheila Thomas's services?

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

What insurance does Sheila Thomas accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Sheila 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 Sheila Thomas affiliated with any hospitals?

According to CMS data, Sheila Thomas is affiliated with Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Thomas was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.