Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Daniel Thomas, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1457937906

Kevin Daniel Thomas, DO is a Family Practice in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1225 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 617-3431
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14021 New Halls Ferry Rd, Florissant, MO 63033-2763 — (314) 839-0910

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2025037410 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2025037410 (MO)

Record details

NPI number1457937906
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 23, 2021
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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