Individual provider Active NPI

Nishan Thapa, PA-C

  • Surgical Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1043795016
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA12284 Issued in TX
Practice address
4141 S Staples St Ste 300
Corpus Christi, TX 78411-0002
Phone
(361) 882-5560
Fax
(361) 882-6011
NPI assigned
Sep 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA12284 TX Primary

Addresses

Primary practice location

4141 S Staples St Ste 300
Corpus Christi, TX 78411-0002

Mailing address

4141 S Staples St Ste 300
Corpus Christi, TX 78411-0002
Phone (361) 882-5560

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001773 TX Practitioner - Physician Assistant 8123370343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

1801 E 51St St
Suite 320
Austin, TX 78723-3455
Phone (512) 478-3376

6618 Sitio del Rio Blvd
Suite D101
Austin, TX 78730-1148
Phone (512) 478-3376

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12284TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel J Ladd Jr DO PA Dba Austin Center for Skin Health and Rejuvenat CurrentSince Jan 1, 2022 Accepting new patients
Roopal Bhatt MD, PA Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients
Dermatology Associates Past Accepting new patients

Locations

3500 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 643-4384

3101 Highway 71 E
Ste 203
Bastrop, TX 78602
Phone (512) 643-4384

701 E Whitestone Blvd
Ste 150
Cedar Park, TX 78613
Phone (512) 260-5860

1400 E Cemetery Rd
Hallettsville, TX 77964
Phone (512) 643-4384

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

4112 Links Ln
Ste 205
Round Rock, TX 78664
Phone (512) 379-6090

160 Creekside Park Rd
Ste 300
Spring Branch, TX 78070
Phone (512) 643-4384

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1043795016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784110002",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784110002",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPA",
        "first_name": "NISHAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA12284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.