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DR. KELTON MANOR THOMAS M.D.
NPI 1639496243
Psychiatry & Neurology - Child & Adolescent Psychiatry in Aviano, AE

Active since April 23, 2010PECOS Enrolled
MONTEREALE 24, BUILDING 121, AVIANO, AE 33170(314) 632-5250 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelton Manor Thomas M.d. NPPES

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

DR. KELTON MANOR THOMAS M.D. (NPI 1639496243) is an individual child & adolescent psychiatry provider in Aviano, AE, licensed in Virginia (0101251812) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Anchorage.

NPPES Registry Identity

NPI1639496243
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. KELTON MANOR THOMASCredential: M.D.
Location AddressMONTEREALE 24, BUILDING 121Aviano, AE 33170
Mailing AddressUnit 6180 Box 245Apo, AE 09604-6180 · (314) 632-5250
Phone(314) 632-5250
Sole ProprietorYes
Enumeration DateApril 23, 2010
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1639496243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0101251812
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0101251812 (VA)
MONTEREALE 24, BUILDING 121, Aviano, AE 33170
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Secondary Practice Location 1

Location 15855 Zeamer AveAnchorage, AK 99506 · Phone (907) 580-3205

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelton Manor Thomas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kelton Thomas's NPI number?

The NPI number for Kelton Thomas is 1639496243. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Kelton Thomas located?

Kelton Thomas practices at Montereale 24, Building 121, Aviano, AE 33170. The listed phone number is (314) 632-5250.

What is Kelton Thomas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kelton Thomas enrolled in Medicare?

Yes. Kelton Thomas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelton Thomas was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.