ANDREW JAMES THOMAS (MD MPH) – Family Medicine Physician, NPI 1871933697

ANDREW JAMES THOMAS (MD MPH) is a healthcare provider. based in Pocatello, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials MD MPH. They hold a License No. MD60799264 (WA). The NPI Number for ANDREW JAMES THOMAS (MD MPH) is 1871933697

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JAMES THOMAS (MD MPH)
NPI
1871933697
Phone
(208) 282-4421
Address
465 MEMORIAL DR
Enumeration Date
25 June 2013
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5096745331
Graduation Year
2015 (11 years ago)
PAC ID
8820302144
Group Practice PAC ID
0547179608
Professional Enrollment ID
I20180801002504
Address ID
WA989221045CL201XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

969 FAMILY PRACTICE in ID

Provider Addresses for ANDREW JAMES THOMAS (MD MPH)

  • 465 MEMORIAL DR

    ISU FAMILY MEDICINE RESIDENCY

    POCATELLO, ID 832014008

    Phone: (208) 282-4421

    Type: Mailing

  • 201 ALPHA WAY

    CLE ELUM, WA 989221045

    Phone: (509) 674-5331

    Fax: (509) 674-5034

    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: 2018-08-01

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
I20180801002504IFamily PracticeWATBD

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 83201)

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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: 0547179608View full group profile
NameSpecialtyState
Nurse PractitionerWA
Emergency MedicineWA
General SurgeryWA
Cardiac Electrophysiology, Internal MedicineMN
O T O L A R Y N G O L O G YWA
Family PracticeWA
Physician AssistantWA
Physician AssistantID
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

Does ANDREW JAMES THOMAS (MD MPH) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANDREW JAMES THOMAS (MD MPH) uses 1871933697.
Does CMS list ANDREW JAMES THOMAS (MD MPH) as active?
Yes — ANDREW JAMES THOMAS (MD MPH) is active in the NPI listing used on this page.
What is ANDREW JAMES THOMAS (MD MPH) best known for clinically?
Directory data describes ANDREW JAMES THOMAS (MD MPH) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREW JAMES THOMAS (MD MPH)?
ANDREW JAMES THOMAS (MD MPH)'s geographic hint is Pocatello, Idaho in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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