LIZY BOSE THOMAS (MD) – Internal Medicine Physician, NPI 1104902600

LIZY BOSE THOMAS (MD) is a healthcare provider. based in Bowie, Maryland. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD31662 (DC). The NPI Number for LIZY BOSE THOMAS (MD) is 1104902600

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
LIZY BOSE THOMAS (MD)
NPI
1104902600
Phone
(301) 262-8188
Address
14999 HEALTH CENTER DR
Enumeration Date
27 October 2006
Last Update Date
17 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3015152901
Graduation Year
1991 (35 years ago)
PAC ID
4789906074
Group Practice PAC ID
3870661978
Professional Enrollment ID
I20250905001107
Address ID
MD210616438GL1600XSXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,245 INTERNAL MEDICINE in MD

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Provider Addresses for LIZY BOSE THOMAS (MD)

  • 14999, Health Center Drive, Essington, Bowie, Prince George's County, Maryland, 20716, United States

    SUITE 201

    BOWIE, MD 207161074

    Phone: (301) 262-8188

    Fax: (301) 464-8233

    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)

CMS reports 79 Open Payments records for all available years, with a total value of $1,724.

Total Amount is formed as General ($1,724) + Research ($0) + Ownership ($0) = $1,724.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($457).

Total Amount

$1,724

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,724

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2025-09-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20141121001536IInternal MedicineDCTBD
I20250905001107IInternal MedicineMDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes787461$0
99213Established patient office or other outpatient visit, 20-29 minutes263200$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit226226$0
G0444Annual depression screening, 5 to 15 minutes223223$0
G0442Annual alcohol misuse screening, 5 to 15 minutes180180$0
View full utilization report →

Insurance plans in this area (ZIP 20716)

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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: 3870661978View full group profile
NameSpecialtyState
Internal MedicineMD
Internal Medicine, Geriatric Medicine, Hematology/OncologyMD
Internal MedicineDC
Physician AssistantMD
Physician AssistantMD
Internal MedicineMD
Family PracticeVA
Nurse PractitionerMD
Physician AssistantMD
Physician AssistantMD

Reviews

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Frequently asked questions

Can I use this page to confirm LIZY BOSE THOMAS (MD)'s NPI?
Yes. LIZY BOSE THOMAS (MD) is listed with NPI 1104902600 in the public NPI dataset.
Does the file indicate LIZY BOSE THOMAS (MD) is practicing under active NPI?
Directory data currently reports LIZY BOSE THOMAS (MD) as active.
What healthcare role does LIZY BOSE THOMAS (MD) hold?
Scheduling teams often label LIZY BOSE THOMAS (MD) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect LIZY BOSE THOMAS (MD) on a map?
Expect Bowie, Maryland as a primary anchor for LIZY BOSE THOMAS (MD) unless the record lists multiple sites.
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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