MR. TIBU RAJU THOMAS
NPI 1972375996
Nurse Practitioner - Adult Health in Montvale, NJ

Active since October 24, 2023PECOS EnrolledAccepts Medicare Assignment
225 SUMMIT AVE, MONTVALE, NJ 07645(201) 472-5431 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 11, 2024, Nov 18, 2023, Oct 24, 2023 (3 updates tracked since 2023).

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

NPI1972375996
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. TIBU RAJU THOMAS
Location Address225 SUMMIT AVEMontvale, NJ 07645-1523
Mailing Address109 Howard StDumont, NJ 07628-2509 · (201) 289-3763
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 24, 2023
Last NPPES UpdateSeptember 11, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
NPI 1972375996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NJ · 26NJ14954700 Licensed in NY · 311660
225 SUMMIT AVE, Montvale, NJ 07645

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

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.

PECOS PAC ID3779936232
PECOS Enrollment IDI20240131003310
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 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.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Radiology (Radiation Oncology)
225 SUMMIT AVE
MONTVALE, NJ 07645
Internal Medicine (Hematology & Oncology)
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Physical Therapist
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner (Family)
225 SUMMIT AVE
MONTVALE, NJ 07645
Nurse Practitioner
225 SUMMIT AVE
MONTVALE, NJ 07645
Pharmacist
225 SUMMIT AVE
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.

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 23 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.