JAMAAL MICHAEL THOMAS
NPI 1639827280
Nurse Practitioner - Adult Health in New York, NY

Active since March 14, 2022PECOS Enrolled
100 E 77TH ST, NEW YORK, NY 10075(212) 434-3160 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jamaal Michael Thomas NPPES

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

JAMAAL MICHAEL THOMAS (NPI 1639827280) is an individual adult health provider in New York, New York, licensed in New York (310675) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Kings County Hospital Center, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1639827280
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJAMAAL MICHAEL THOMAS
Location Address100 E 77TH STNew York, NY 10075-1850
Mailing Address936 E 45th StBrooklyn, NY 11203-6512 · (347) 381-9322
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 14, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1639827280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310675
100 E 77TH ST, New York, NY 10075

Secondary Practice Location 1

Location 1451 Clarkson Ave Bldg 9thBrooklyn, NY 11203-2097 · Phone (718) 245-3131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamaal Michael Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032560438
PECOS Enrollment IDI20260826001246
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 Jamaal Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
612 CORPORATE WAY STE 2
Valley Cottage, NY 10989
  • Reassigned Medicare billing, New York enrollment
  • 137 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.

Hospital Affiliations CMS Care Compare

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

Kings County Hospital Center

Acute Care Hospitals · Brooklyn, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330202
Location451 Clarkson AvenueBrooklyn, NY 11203 · Kings County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10075 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
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.

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.

Nurse Practitioner (Neonatal, Critical Care)
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Student in an Organized Health Care Education/Training Program
100 E 77TH ST
NEW YORK, NY 10075
Physician Assistant
100 E 77TH ST
NEW YORK, NY 10075
Anesthesiology
100 E 77TH ST
NEW YORK, NY 10075
Nurse Practitioner (Acute Care)
100 E 77TH ST
NEW YORK, NY 10075

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 Jamaal Thomas's NPI number?

The NPI number for Jamaal Thomas is 1639827280. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Jamaal Thomas located?

Jamaal Thomas practices at 100 E 77th St, New York, NY 10075. The listed phone number is (212) 434-3160.

What is Jamaal Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jamaal Thomas enrolled in Medicare?

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

Which organization bills Medicare for Jamaal Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamaal Thomas reassigns Medicare benefits to My Medical PC (Valley Cottage, NY). 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 Jamaal Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jamaal Thomas affiliated with any hospitals?

According to CMS data, Jamaal Thomas is affiliated with Kings County Hospital Center.

When was this NPI record last updated?

The NPPES record for Jamaal Thomas was last updated on March 14, 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.