DR. NICHOLAS MATTHEW THOMAS-BOCK D.O.
NPI 1902285117
Radiology - Pediatric Radiology in Peninsula, OH

Q: What is Nicholas Thomas-bock's NPI number?

The NPI number for Nicholas Thomas-bock is 1902285117. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Q: What is Nicholas Thomas-bock's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Active since May 20, 2015PECOS Enrolled

6039 LEDGEVIEW DR, PENINSULA, OH 44264(330) 418-2603 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Apr 7, 2026, Jul 8, 2024, Apr 1, 2024 and 2 more (5 updates tracked since 2020).

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About Dr. Nicholas Matthew Thomas-bock D.o. NPPES

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

DR. NICHOLAS MATTHEW THOMAS-BOCK D.O. (NPI 1902285117) is an individual pediatric radiology provider in Peninsula, Ohio, licensed in Ohio (34.015123) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1902285117

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameDR. NICHOLAS MATTHEW THOMAS-BOCKCredential: D.O.

Location Address6039 LEDGEVIEW DRPeninsula, OH 44264-9540

Mailing Address6039 Ledgeview DrPeninsula, OH 44264-9540 · (330) 418-2603

Phone(330) 418-2603

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015

Enumeration DateMay 20, 2015

Last NPPES UpdateApril 7, 20265 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1902285117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in OH · 34.015123

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License C2562 (KY), 34.015123 (OH), DOC-037 (GU)

6039 LEDGEVIEW DR, Peninsula, OH 44264

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Arizona, CareSource.Insurance ›

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. Nicholas Matthew Thomas-bock D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375840937

PECOS Enrollment IDI20240911000772, I20241016002454, I20250307003330

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.

Hospital Affiliations CMS Care Compare

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

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 Nicholas Thomas-bock's NPI number?

The NPI number for Nicholas Thomas-bock is 1902285117. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Nicholas Thomas-bock located?

Nicholas Thomas-bock practices at 6039 Ledgeview Dr, Peninsula, OH 44264. The listed phone number is (330) 418-2603.

What is Nicholas Thomas-bock's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Nicholas Thomas-bock enrolled in Medicare?

Yes. Nicholas Thomas-bock is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Thomas-bock accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas and CareSource list Nicholas Thomas-bock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Thomas-bock affiliated with any hospitals?

According to CMS data, Nicholas Thomas-bock is affiliated with Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Thomas-bock was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.