THOMAS GILDEA (MD) – Emergency Medicine Physician, NPI 1053708917

THOMAS GILDEA (MD) is a healthcare provider. based in San jose, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A145085 (CA). The NPI Number for THOMAS GILDEA (MD) is 1053708917

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS GILDEA (MD)
NPI
1053708917
Phone
Not provided
Address
2105 FOREST AVE
Enumeration Date
17 April 2015
Last Update Date
29 January 2021

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4089472500
Graduation Year
2015 (11 years ago)
PAC ID
3173888799
Group Practice PAC ID
8921344292
Professional Enrollment ID
I20180601002118
Address ID
CA951281425SA2105XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for THOMAS GILDEA (MD)

  • 2105 FOREST AVE

    SAN JOSE, CA 951281425

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180601002118IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making229224$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only185180$0
99284Emergency department visit with moderate level of medical decision making6661$0
99291Critical care, first 30-74 minutes4848$0
71045X-ray of chest, 1 view4746$0
View full utilization report →

Insurance plans in this area (ZIP 95128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921344292View full group profile
NameSpecialtyState
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineCA
Emergency MedicineTX
Emergency MedicineCA
Emergency MedicineNY
Emergency MedicineMA
Emergency MedicineMA
-CA
Emergency MedicineCA

Reviews

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Frequently asked questions

How is THOMAS GILDEA (MD) identified in CMS data?
CMS-hosted NPPES data lists THOMAS GILDEA (MD) with NPI 1053708917.
Can I rely on THOMAS GILDEA (MD) being an active provider?
As of the registry snapshot, THOMAS GILDEA (MD) is marked active.
What taxonomy line describes THOMAS GILDEA (MD)?
For research purposes, treat THOMAS GILDEA (MD) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for THOMAS GILDEA (MD)?
THOMAS GILDEA (MD)'s geographic hint is San Jose, California in our summary view.
Is the information about THOMAS GILDEA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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