Individual provider Active NPI

Robert Pool Thompson Jr., M.D.

  • Surgery Physician
  • Kyle, TX
National Provider Identifier
1003801119
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H8862 Issued in TX
Practice address
1180 Seton Pkwy Ste 150
Kyle, TX 78640-6319
Phone
(512) 504-0877
Fax
(855) 213-8218
NPI assigned
Sep 14, 2005
Reactivated
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H8862 TX Primary

Addresses

Primary practice location

1180 Seton Pkwy Ste 150
Kyle, TX 78640-6319

Mailing address

1180 Seton Pkwy Ste 150
Kyle, TX 78640-6319
Phone (512) 407-8686

Other identifiers 3

IdentifierTypeStateIssuer
097087305MedicaidTX
097087302MedicaidTX
097087304MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040423001265 TX Practitioner - General Surgery 6608862511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5224 75TH St
Suite D
Lubbock, TX 79424-2523

Hospital & facility affiliations

  • Christus Vna Homecare San Antonio Home health agency, San Antonio, TX, CCN 457777
  • Prime Home Health, LLC Home health agency, San Antonio, TX, CCN 453194
  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue173
Removal of skin lesions26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H8862TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Family Medicine Current Accepting new patients
Seton Family of Doctors CurrentSince Dec 1, 2018 Accepting new patients
Physicians Unity Family Medicine CurrentSince Apr 7, 2021 Accepting new patients
Seton Family of Doctors Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients

Locations

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 Seton Pkwy
Ste 150
Kyle, TX 78640
Phone (512) 358-9428

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

11212 State Highway 151
Ste 300
San Antonio, TX 78251
Phone (210) 703-8200

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

7402 John Smith Dr
Ste 101
San Antonio, TX 78229
Phone (210) 817-4848

7402 John Smith Dr
San Antonio, TX 78229
Phone (210) 817-4848

2833 Babcock Rd
Ste 105
San Antonio, TX 78229
Phone (210) 269-2060

2833 Babcock Rd
Ste 110
San Antonio, TX 78229
Phone (210) 692-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEAFAD/Endpoint/BEAFAD
  • Direct secure messaging: rthompson421029@christushealth.direct-ci.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1003801119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 150",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406319",
            "telephone_number": "512-407-8686",
            "fax_number": "855-213-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY STE 150",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406319",
            "telephone_number": "512-504-0877",
            "fax_number": "855-213-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROBERT",
        "middle_name": "POOL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-01-14",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H8862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097087305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097087302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097087304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.