DR. KORNELIA THOMAS (MD) – Family Medicine Physician, NPI 1134500051

DR. KORNELIA THOMAS (MD) is a healthcare provider. based in Southbury, Connecticut. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 56040 (CT). The NPI Number for DR. KORNELIA THOMAS (MD) is 1134500051

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KORNELIA THOMAS (MD)
NPI
1134500051
Phone
(203) 262-9300
Address
30 QUAKER FARMS RD STE 1
Enumeration Date
16 June 2015
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033082781
Graduation Year
2013 (13 years ago)
PAC ID
6204107113
Group Practice PAC ID
7618871997
Professional Enrollment ID
I20170810000560
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for DR. KORNELIA THOMAS (MD)

  • 30 QUAKER FARMS RD STE 1

    SOUTHBURY, CT 06488

    Phone: (203) 262-9300

    Fax: (203) 264-2696

    Type: Location

  • 110 Rehill Ave

    Somerville, NJ 088762519

    Phone: (908) 685-2800

    Type: Location

  • 111 Wakelee Ave

    Ansonia, CT 064011151

    Phone: (203) 308-2781

    Fax: (203) 308-2726

    Type: Location

  • 67 MAPLE AVE FL 2

    DERBY, CT 064181328

    Phone: (203) 732-1330

    Fax: (203) 732-1332

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($180).

Total Amount

$211

General + Research + Ownership

Payments

9

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-10

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
I20170810000560IFamily PracticeCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06488)

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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: 7618871997View full group profile
NameSpecialtyState
General SurgeryMI
Physician AssistantCT
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
O B S T E T R I C S/ G Y N E C O L O G YNJ
Nurse PractitionerCT
Nurse PractitionerCT
-CT
Internal Medicine, Hospitalist, Internal MedicineNY

Reviews

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Frequently asked questions

How do payers reference DR. KORNELIA THOMAS (MD)?
For DR. KORNELIA THOMAS (MD), use NPI 1134500051 as the unique 10-digit identifier.
Would DR. KORNELIA THOMAS (MD) appear as active to a payer?
You can treat DR. KORNELIA THOMAS (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. KORNELIA THOMAS (MD)?
DR. KORNELIA THOMAS (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. KORNELIA THOMAS (MD)?
Directory geography for DR. KORNELIA THOMAS (MD) centers on Southbury, Connecticut.
When was this NPI issued?
Enumeration for DR. KORNELIA THOMAS (MD) is noted as June 16, 2015 where the registry provides it.

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