ANJITHA THOMAS PA-C
NPI 1528397668
Physician Assistant - Medical in Bloomingdale, IL

Active since December 21, 2009Opted out of Medicare · through Sep 6, 2026
245 S GARY AVE STE 207, BLOOMINGDALE, IL 60108(630) 893-9661(877) 780-5145 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anjitha Thomas Pa-c NPPES

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

ANJITHA THOMAS PA-C (NPI 1528397668) is an individual medical provider in Bloomingdale, Illinois, licensed in Illinois (085-003425) and active in the NPI registry since December 2009. She has opted out of Medicare through September 6, 2026.

NPPES Registry Identity

NPI1528397668
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANJITHA THOMASCredential: PA-C
Location Address245 S GARY AVE STE 207Bloomingdale, IL 60108-2218
Mailing Address245 S Gary Ave Ste 207Bloomingdale, IL 60108-2218 · (630) 893-9661 · Fax (877) 780-5145
Fax(877) 780-5145
Sole ProprietorNo
Enumeration DateDecember 21, 2009
Last NPPES UpdateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1528397668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085-003425
245 S GARY AVE STE 207, Bloomingdale, IL 60108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Anjitha Thomas Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 6, 2024 through September 6, 2026.

Opt-Out Effective DateSeptember 6, 2024
Opt-Out In Effect ThroughSeptember 6, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
245 S GARY AVE STE 207
BLOOMINGDALE, IL 60108
Family Medicine
245 S GARY AVE STE 207
BLOOMINGDALE, IL 60108

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 Anjitha Thomas's NPI number?

The NPI number for Anjitha Thomas is 1528397668. It was assigned to this individual provider in the NPPES registry on December 21, 2009.

Where is Anjitha Thomas located?

Anjitha Thomas practices at 245 S Gary Ave Ste 207, Bloomingdale, IL 60108. The listed phone number is (630) 893-9661.

What is Anjitha Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anjitha Thomas enrolled in Medicare?

No. Anjitha Thomas has opted out of Medicare through September 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Anjitha Thomas was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.