SUMMER RAE THOMAS
NPI 1871109470
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
2712 TELEGRAPH AVE, BERKELEY, CA 94705(510) 548-8283 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summer Rae Thomas NPPES

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

SUMMER RAE THOMAS (NPI 1871109470) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871109470
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSUMMER RAE THOMAS
Location Address2712 TELEGRAPH AVEBerkeley, CA 94705-1117
Mailing Address15 Whitmore Pl Apt COakland, CA 94611-4690 · (510) 860-3126
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1871109470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2712 TELEGRAPH AVE, Berkeley, CA 94705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Summer Rae Thomas 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 ID4688181613
PECOS Enrollment IDI20250725001135
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.

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.

Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Counselor (Mental Health)
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705

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 Summer Thomas's NPI number?

The NPI number for Summer Thomas is 1871109470. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Summer Thomas located?

Summer Thomas practices at 2712 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 548-8283.

What is Summer Thomas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Summer Thomas enrolled in Medicare?

Yes. Summer 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.

When was this NPI record last updated?

The NPPES record for Summer Thomas was last updated on September 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.