Individual provider Active NPI

Basti J. Thampoe, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1063421303
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M0288 Issued in TX
Practice address
7322 Southwest Fwy
Suite 160
Houston, TX 77074-2010
Phone
(713) 532-6884
Fax
(713) 532-5756
NPI assigned
Aug 5, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0288 TX Primary

Addresses

Primary practice location

7322 Southwest Fwy
Suite 160
Houston, TX 77074-2010

Mailing address

705 S Fry Rd Ste 105
Katy, TX 77450-2252
Phone (281) 500-8176

Other identifiers 1

IdentifierTypeStateIssuer
171156602MedicaidTX

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
I20050128000466 TX Practitioner - Internal Medicine 7911957758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makarios Hospitalist Group PLLCGroup PAC ID 2466768791, 3 clinicians

Practice addresses (Care Compare)

21238 Kingsland Blvd
Katy, TX 77450-5898
Phone (713) 464-7555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0288TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Houston Internal Medicine Associates PA Internal Medicine CurrentSince Oct 31, 2011 Accepting new patients
.Sunstar Geriatrics Healthcare PA Past Accepting new patients
Methodist Health Centers Past Accepting new patients
Internal Medicine Associates of Palestine, PA Internal Medicine PastSince Aug 24, 1992 Accepting new patients

Locations

21238 Kingsland Blvd
Katy, TX 77450
Phone (832) 321-4962

705 S Fry Rd
Ste 105
Katy, TX 77450
Phone (281) 500-8176

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1063421303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S FRY RD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502252",
            "telephone_number": "281-500-8176",
            "fax_number": "281-500-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 SOUTHWEST FWY",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742010",
            "telephone_number": "713-532-6884",
            "fax_number": "713-532-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMPOE",
        "first_name": "BASTI",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171156602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.