Thomas Jackson, MD
Thomas Jackson, MD is an Interventional Pain Medicine Physician in Schenectady, NY, registered under NPI 1790765667. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 500 STATE ST, Schenectady, NY 12305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 246110 | NY | Interventional Pain Medicine Physician primary |
| MT179687 | PA | Physical Medicine & Rehabilitation… |
| MD13171 | RI | Physical Medicine & Rehabilitation… |
| 2011-00970 | NC | Physical Medicine & Rehabilitation… |
| MD13171 | RI | Pain Medicine (Physical Medicine &… |
Licences are recorded in 4 states: NY, PA, RI, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Medicine And Rehabilitation
- PAC ID
- 2163435918
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Medicine And Rehabilitation. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 4 states
This provider holds licences in 4 states: North Carolina, New York, Pennsylvania and Rhode Island. The practice address on file is in Schenectady, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2011-00970
- Specialty
- Physical Medicine & Rehabilitation…
- Licence
- 246110
- Specialty
- Interventional Pain Medicine Physician
- Licence
- MT179687
- Specialty
- Physical Medicine & Rehabilitation…
- Licence
- MD13171
- Specialty
- Physical Medicine & Rehabilitation…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 246110 | NY | primary |
| 208100000X | Physical Medicine & Rehabilitation Physician | MT179687 | PA | |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD13171 | RI | |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2011-00970 | NC | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | MD13171 | RI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790765667 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jan 18, 2006 |
| Last updated | Jul 17, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
500 STATE ST Schenectady, NY 12305 (518) 489-2663 |
| Mailing address |
121 EVERETT RD Albany, NY 12205 |
| Other identifiers |
NC1445
(SC) 1790765667 (NC) 5918134 (NC) TJ79199 (RI) 04074237 (NY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 7 | 6 | 5 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 5 | 6 | 1 | 6 | 3 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.