KEITH DEREK THORNE M.D. NPI 1467559476

NPI Information

  • NPI: 1467559476
  • Provider Name: KEITH DEREK THORNE, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 501 MARSHALL ST STE 104
    JACKSON, MS
    ZIP 39202
  • Phone: (601) 969-6404

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NPI Details

Keith Derek Thorne, M.D. is a cardiovascular disease internal medicine in Jackson, MS with 25 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Keith Derek Thorne, M.D. NPI is 1467559476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

501 MARSHALL ST STE 104
JACKSON, MS
ZIP 39202-663
Phone: (601) 969-6404
Fax: (601) 973-4541

The NPI 1467559476 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan (HCPCS:78431)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Heart rhythm review and interpretation of continous external ekg over 8-15 days (HCPCS:93248)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • Ct scan of heart structure with contrast (HCPCS:75572)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Insertion of tube in coronary artery for diagnosis with review by radiologist (HCPCS:93454)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)

The enumeration date for this NPI number is 9/20/2006 and was last updated on 4/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease17941MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109775722MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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