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USHA THOMAS MD
NPI 1972699171
Pediatrics in Staten Island, NY

Active since October 05, 2006PECOS EnrolledCLIA 33D0135069 · Waiver
175 GUYON AVE, STATEN ISLAND, NY 10306(718) 987-4303(718) 987-4305 Get Directions Write a Review

NPPES record last updated: March 4, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Usha Thomas Md NPPES

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

USHA THOMAS MD (NPI 1972699171) is an individual pediatrics provider in Staten Island, New York, licensed in New York (213224) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through July 31, 2027.

NPPES Registry Identity

NPI1972699171
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameUSHA THOMASCredential: MD
Location Address175 GUYON AVEStaten Island, NY 10306-3947
Mailing Address175 Guyon AveStaten Island, NY 10306-3947 · (718) 987-4303 · Fax (718) 987-4305
Phone(718) 987-4303
Fax(718) 987-4305
Sole ProprietorYes
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 4, 2015
✔ NPI 1972699171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 213224
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
175 GUYON AVE, Staten Island, NY 10306
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Other Identifiers 1

Medicare UPINH00208

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Usha Thomas Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Usha Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
16 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Primary Care PC
16 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0135069

Usha Thomas MD · Staten Island, NY
Active · expires Jul 31, 2027
CLIA Number33D0135069
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorUsha Thomas MD
Laboratory Phone(718) 987-4303
Laboratory LocationUsha Thomas MD175 Guyon Ave, Staten Island, NY 10306
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 3

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

DR. WILLIAM ANTHONY LAFFERTY DPM
Podiatrist (Foot & Ankle Surgery)
175 GUYON AVE
STATEN ISLAND, NY 10306
Richmond County (718) 351-0786
JOY STENNETT
Nurse Practitioner (Primary Care)
175 GUYON AVE
STATEN ISLAND, NY 10306
Richmond County (718) 987-4303
USHA THOMAS PHYSICIAN PC
Clinic/Center (Primary Care)
175 GUYON AVE
STATEN ISLAND, NY 10306
Richmond County (718) 987-4303

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 Usha Thomas's NPI number?

The NPI number for Usha Thomas is 1972699171. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Usha Thomas located?

Usha Thomas practices at 175 Guyon Ave, Staten Island, NY 10306. The listed phone number is (718) 987-4303.

What is Usha Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Usha Thomas enrolled in Medicare?

Yes. Usha Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Usha Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Usha Thomas reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, 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 Usha Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Usha Thomas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0135069) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Usha Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Usha Thomas 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 Usha Thomas was last updated on March 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.