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DR. DONNA THOMAS MD
NPI 1609070838
Internal Medicine in New York, NY

Active since June 12, 2007PECOS EnrolledAccepts Medicare Assignment
5141 BROADWAY, NEW YORK, NY 10034(212) 932-5218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Donna Thomas Md NPPES

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

DR. DONNA THOMAS MD (NPI 1609070838) is an individual internal medicine provider in New York, New York, licensed in New York (240835) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609070838
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONNA THOMASCredential: MD
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address5141 BroadwayNew York, NY 10034-1159 · (212) 932-5218
Phone(212) 932-5218
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609070838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 240835
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5141 BROADWAY, New York, NY 10034
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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. Donna 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 ID8729177480
PECOS Enrollment IDI20071203000410
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

4

Medicare enrollment records show Donna Thomas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore-Lij Medical PC
12 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
Elmont Community Health Center
15 mi
Clinic/Center
161 HEMPSTEAD TPKE
Elmont, NY 11003
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Nassau Health Care Corporation
  • 553 clinicians in this Medicare group
NPI 1467478362 (516) 571-8200
Mount Sinai School Of Medicine
18 mi
Cardiovascular Disease
10 E MERRICK RD STE 207
Valley Stream, NY 11580
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1942777347 (516) 256-2017
Southwest Suffolk Medical PC
32 mi
Family Medicine
502 S WELLWOOD AVE
Lindenhurst, NY 11757
  • Reassigned Medicare billing, New York enrollment
  • 348 clinicians in this Medicare group
NPI 1770919763 (631) 226-8600

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
647 services295 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
302 services174 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
160 services153 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$55.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMANDA SARA BROWN RN
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4165
BRITNEY SAMIRA MATTHEWS NP
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
RAHUL SHAH M.D.
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
SONIKA KAUR CHOUHAN
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
DR. DEAN CHOU MD
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 305-7376
MS. KAREN MERYL STUGENSKY RPA-C
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
New York County (212) 932-4125
DEREK MAZIQUE
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
KRISTEN MICHELE MITCHELL PA
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4171

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 Donna Thomas's NPI number?

The NPI number for Donna Thomas is 1609070838. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Donna Thomas located?

Donna Thomas practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-5218.

What is Donna Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Donna Thomas enrolled in Medicare?

Yes. Donna 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 Donna Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Thomas reassigns Medicare benefits to 4 organizations: North Shore-Lij Medical PC (Great Neck, NY), Elmont Community Health Center (Elmont, NY), Mount Sinai School Of Medicine (Valley Stream, NY) and Southwest Suffolk Medical PC (Lindenhurst, NY). 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 Donna Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Donna Thomas affiliated with any hospitals?

According to CMS data, Donna Thomas is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Thomas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.