Individual provider Active NPI

Robert P Thomas, M.D.

  • Pediatric Surgery Physician
  • San Antonio, TX
National Provider Identifier
1013025188
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
L5922 Issued in TX
Practice address
4499 Medical Dr
Suite 347
San Antonio, TX 78229-3735
Phone
(210) 615-8757
Fax
(210) 615-8789
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X L5922 TX Primary

Addresses

Primary practice location

4499 Medical Dr
Suite 347
San Antonio, TX 78229-3735

Mailing address

3001 E President George Bush Hwy
Suite 250
Richardson, TX 75082-3542
Phone (972) 437-5099

Other identifiers 1

IdentifierTypeStateIssuer
180204301MedicaidTX

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
I20060417000485 TX Practitioner - Pediatric MedicinePractitioner - General Surgery 2365451549 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Sa Pediatric Urology Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1013025188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "972-437-5099",
            "fax_number": "972-671-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MEDICAL DR",
            "address_2": "SUITE 347",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293735",
            "telephone_number": "210-615-8757",
            "fax_number": "210-615-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "TX",
            "license": "L5922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180204301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.