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THOMAS JAMES III MD
NPI 1942265053
Internal Medicine in Louisville, KY

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 774-8631(502) 772-8189 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, May 30, 2017, Apr 14, 2017 and 1 more (4 updates tracked since 2015).

About Thomas James Iii Md NPPES

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

THOMAS JAMES III MD (NPI 1942265053) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (16982) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Medicine (1972).

NPPES Registry Identity

NPI1942265053
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS JAMES IIICredential: MD
Location Address2215 PORTLAND AVELouisville, KY 40212-1033
Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700
Phone(502) 774-8631
Fax(502) 772-8189
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1972
Enumeration DateApril 20, 2006
Last NPPES UpdateOctober 5, 20204 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1942265053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KY · 16982✔ Licensed in PA · MD014285E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License MD014285E (PA)
2215 PORTLAND AVE, Louisville, KY 40212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Thomas James Iii Md 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 ID5193770063
PECOS Enrollment IDI20140618000417
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAIVANTI LOHANO MD
Family Medicine
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
NANCY J MATYUNAS PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-0889
DR. MICHAEL T LIN PHARMD
Pharmacist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8178
STEPHANIE N LUCKETT DMD
Dentist
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 772-8160
JULIA E RICHERSON MD
Pediatrics
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
IZEGBEA M. CANNON
Nurse Practitioner (Family)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
KAREN DUCKWALL MD
Obstetrics & Gynecology
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631
CARLA MARIE BRODERICK APRN
Nurse Practitioner (Adult Health)
2215 PORTLAND AVE
LOUISVILLE, KY 40212
Jefferson County (502) 774-8631

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 James's NPI number?

The NPI number for Thomas James is 1942265053. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Thomas James located?

Thomas James practices at 2215 Portland Ave, Louisville, KY 40212. The listed phone number is (502) 774-8631.

What is Thomas James's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas James enrolled in Medicare?

Yes. Thomas James 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.

What insurance does Thomas James accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Thomas James 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.

When was this NPI record last updated?

The NPPES record for Thomas James was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.