Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Thomas R Jackson, MD

Interventional Pain Medicine Physician in Schenectady, NY · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790765667

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Registry record

Entity type Individual (Type 1)

Name Dr. Thomas R Jackson

Credential MD

Sex Male

Practice address 500 State St, Schenectady, NY, 12305

Phone (518) 489-2663

Enumeration date Jan 18, 2006

Last updated in NPPES Jul 17, 2025

Taxonomy & licenses

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License MT179687 (PA) Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License MD13171 (RI) Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 2011-00970 (NC) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License MD13171 (RI) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 246110 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
NC1445	Medicaid	SC	-
1790765667	Medicaid	NC	-
5918134	Medicaid	NC	-
TJ79199	Medicaid	RI	-
04074237	Medicaid	NY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1790765667 active?

Yes, as of the latest NPPES snapshot, NPI 1790765667 is active (record last updated 2025-07-17).

How do I verify Thomas Jackson's NPI record?

Cross-check NPI 1790765667 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-17.