THOMAS A. KEDERSHA, MD, PA
NPI 1811298235
Surgery in Toms River, NJ
About Thomas A. Kedersha, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS A. KEDERSHA, MD, PA (NPI 1811298235) is a healthcare organization registered as a surgery in Toms River, New Jersey and active in the NPI registry since November 2010. The organization lists Thomas A Kedersha, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas A. Kedersha, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Thomas A. Kedersha, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Thomas A. Kedersha, MD, PA's NPI number?
The NPI number for Thomas A. Kedersha, MD, PA is 1811298235. It was assigned to this organization in the NPPES registry on November 17, 2010.
Where is Thomas A. Kedersha, MD, PA located?
Thomas A. Kedersha, MD, PA is located at 25 Mule Rd Suite B2, Toms River, NJ 08755. The listed phone number is (732) 349-5453.
What is Thomas A. Kedersha, MD, PA's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Thomas A. Kedersha, MD, PA enrolled in Medicare?
Yes. Thomas A. Kedersha, MD, PA is registered in the Medicare PECOS enrollment system.
When is Thomas A. Kedersha, MD, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Thomas A. Kedersha, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Thomas A. Kedersha, MD, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Thomas A. Kedersha, MD, PA was last updated on January 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Thomas A. Kedersha, Md, Pa · NPI 1811298235
Surgery organization in Toms River, New Jersey. Organization record, active in the CMS NPPES registry since November 17, 2010.
## Identity
- **NPI:** 1811298235 (Entity type: Organization)
- **Enumerated:** November 17, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Thomas Kedersha, OWNER
## Practice location
- **Address:** 25 MULE RD, SUITE B2, Toms River, NJ 08755-5035
- **Phone:** (732) 349-5453 · **Fax:** (732) 681-3426
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2014
- **Other identifiers:** Medicare PIN 084748 (NJ); Medicare UPIN C53908 (NJ); Medicare PIN 191185 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1811298235) · Data from the CMS NPPES public registry.