MR. TIBU RAJU THOMAS
NPI 1972375996
Nurse Practitioner - Adult Health in Montvale, NJ
About Mr. Tibu Raju Thomas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIBU RAJU THOMAS (NPI 1972375996) is an individual adult health provider in Montvale, New Jersey, licensed in New Jersey (26NJ14954700) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Tibu Raju 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tibu Raju Thomas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
West Harrison, NY 10604
- Reassigned Medicare billing, New York enrollment
- 328 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New Jersey enrollment
- 2 clinicians in this Medicare group
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MONTVALE, NJ 07645
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 Tibu Raju Thomas's NPI number?
The NPI number for Tibu Raju Thomas is 1972375996. It was assigned to this individual provider in the NPPES registry on October 24, 2023.
Where is Tibu Raju Thomas located?
Tibu Raju Thomas practices at 225 Summit Ave, Montvale, NJ 07645. The listed phone number is (201) 472-5431.
What is Tibu Raju Thomas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tibu Raju Thomas enrolled in Medicare?
Yes. Tibu Raju 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.
Which organizations bill Medicare for Tibu Raju Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tibu Raju Thomas reassigns Medicare benefits to 4 organizations: Msk Bergen (Montvale, NJ), Msk Harrison (West Harrison, NY), Mskcc Surgery Group (New York, NY) and Msk Monmouth (Middletown, NJ). Each 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 Tibu Raju Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tibu Raju Thomas was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mr. Tibu Raju Thomas · NPI 1972375996
Adult Health physician in Montvale, New Jersey. Individual provider, active in the CMS NPPES registry since October 24, 2023.
## Identity
- **NPI:** 1972375996 (Entity type: Individual)
- **Enumerated:** October 24, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ14954700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 SUMMIT AVE, Montvale, NJ 07645-1523
- **Phone:** (201) 472-5431
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Msk Bergen (NPI 1558814657, Montvale, NJ); Msk Harrison (NPI 1174923593, West Harrison, NY); Mskcc Surgery Group (NPI 1699766261, New York, NY); Msk Monmouth (NPI 1922459163, Middletown, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972375996) · Data from the CMS NPPES public registry.