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DR. THOMAS G. O'DANIEL JR. M.D.
NPI 1871585018
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since August 15, 2005PECOS Enrolled
222 S 1ST ST, SUITE 100, LOUISVILLE, KY 40202(502) 584-1109(502) 589-6882 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas G. O'daniel Jr. M.d. NPPES

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

DR. THOMAS G. O'DANIEL JR. M.D. (NPI 1871585018) is an individual plastic and reconstructive surgery provider in Louisville, Kentucky, licensed in Kentucky (24070) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871585018
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. THOMAS G. O'DANIEL JR.Credential: M.D.
Location Address222 S 1ST ST, SUITE 100Louisville, KY 40202-1350
Mailing Address222 S 1st St, Suite 100Louisville, KY 40202-1350 · (502) 584-1109 · Fax (502) 589-6882
Phone(502) 584-1109
Fax(502) 589-6882
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateApril 4, 2016
✔ NPI 1871585018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in KY · 24070
Definition

A surgeon who specializes in plastic and reconstructive surgery.

222 S 1ST ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 11

Other000000219660KY · Anthem Pin
OtherKY0057799KY · Tricare
Other1058697KY · Passport Pin
OtherKY1118KY · Healthnet Pin
Medicaid64240708KY
Medicare PIN1918001KY
Other002KY · Cigna
Other667357KY · Healthlink
Medicare UPINC72177KY
Medicare ID-Type Unspecified240007956KY · Railroad Medicare Id
Medicaid100033340AIN

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. Thomas G. O'daniel Jr. 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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVE JAY COYNE L.AC.
Acupuncturist
222 S 1ST ST, 102
LOUISVILLE, KY 40202
Jefferson County (619) 723-1540
DR. MARK E. CHARIKER M.D.
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 568-4800
T. GERALD O'DANIEL M.D., PLLC
Surgery (Plastic and Reconstructive Surgery)
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 584-1109
DR. JASON CARNES LEWIS MD
Anesthesiology (Pain Medicine)
222 S 1ST ST, SUITE 300
LOUISVILLE, KY 40202
Jefferson County (502) 855-3919
MARK CHARIKER, M.D., PSC
Clinic/Center
222 S 1ST ST, SUITE 100
LOUISVILLE, KY 40202
Jefferson County (502) 568-4800
CHITHRA P RAM M.D.
Radiology (Diagnostic Radiology)
222 S 1ST ST, SUITE 501
LOUISVILLE, KY 40202
Jefferson County (502) 583-2731

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 O'daniel's NPI number?

The NPI number for Thomas O'daniel is 1871585018. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Thomas O'daniel located?

Thomas O'daniel practices at 222 S 1st St Suite 100, Louisville, KY 40202. The listed phone number is (502) 584-1109.

What is Thomas O'daniel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Thomas O'daniel enrolled in Medicare?

Yes. Thomas O'daniel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas O'daniel was last updated on April 4, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.