DR. JESS THOMPSON D.O.
NPI 1790072775
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Dr. Jess Thompson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESS THOMPSON D.O. (NPI 1790072775) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jess Thompson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jess Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
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 Jess Thompson's NPI number?
The NPI number for Jess Thompson is 1790072775. It was assigned to this individual provider in the NPPES registry on June 29, 2011.
Where is Jess Thompson located?
Jess Thompson practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (917) 400-7325.
What is Jess Thompson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jess Thompson enrolled in Medicare?
Yes. Jess Thompson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jess Thompson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jess Thompson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Jess Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jess Thompson was last updated on December 15, 2021. 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.
# Dr. Jess Thompson, D.O. · NPI 1790072775
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 29, 2011.
## Identity
- **NPI:** 1790072775 (Entity type: Individual)
- **Enumerated:** June 29, 2011
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4802 10TH AVE, Brooklyn, NY 11219-2916
- **Phone:** (917) 400-7325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790072775) · Data from the CMS NPPES public registry.