MYCHAL LYNN ANDERSON THOMAS (MD) – Obstetrics & Gynecology Physician, NPI 1164658621

MYCHAL LYNN ANDERSON THOMAS (MD) is a healthcare provider. based in Newark, Delaware. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. C1-0010553 (DE). The NPI Number for MYCHAL LYNN ANDERSON THOMAS (MD) is 1164658621

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MYCHAL LYNN ANDERSON THOMAS (MD)
NPI
1164658621
Phone
(804) 690-9546
Address
4755 OGLETOWN STANTON RD
Enumeration Date
10 June 2009
Last Update Date
12 September 2013

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
8820236532
Group Practice PAC ID
9739097569
Professional Enrollment ID
I20130829000061
Address ID
DE197182200NE4755XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

183 OBSTETRICS/GYNECOLOGY in DE

Provider Addresses for MYCHAL LYNN ANDERSON THOMAS (MD)

  • 4755 OGLETOWN STANTON RD

    DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

    NEWARK, DE 197182200

    Phone: (804) 690-9546

    Type: Location

  • 1218, North West Street, Midtown Brandywine, Wilmington, New Castle County, Delaware, 19801, United States

    WILMINGTON, DE 198011026

    Phone: (302) 654-5349

    Type: Mailing

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: 2013-08-29

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
I20130829000061IObstetrics/GynecologyDETBD

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 19718)

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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: 9739097569View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MYCHAL LYNN ANDERSON THOMAS (MD) in U.S. healthcare records?
The official identifier for MYCHAL LYNN ANDERSON THOMAS (MD) is NPI 1164658621.
Active or inactive — what applies to MYCHAL LYNN ANDERSON THOMAS (MD)?
You should see MYCHAL LYNN ANDERSON THOMAS (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for MYCHAL LYNN ANDERSON THOMAS (MD)?
At a glance, MYCHAL LYNN ANDERSON THOMAS (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Delaware is MYCHAL LYNN ANDERSON THOMAS (MD) registered?
Use Newark, Delaware as the headline location for MYCHAL LYNN ANDERSON THOMAS (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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