Individual provider Active NPI

Mayra J Thompson, MD

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1063479434
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G6186 Issued in TX
Practice address
12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone
(972) 528-5590
Fax
(972) 905-1688
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G6186 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 300
Dallas, TX 75251-3139

Mailing address

12201 Merit Dr Ste 300
Dallas, TX 75251-3139
Phone (972) 528-5590

Other identifiers 2

IdentifierTypeStateIssuer
G6186OtherTXCOMMERCIAL INSURANCE
114923904MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mayrathompsonmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connie Casad MD PLLC Obstetrics & Gynecology PastSince Dec 1, 2018 Accepting new patients

Organizations & group practices 1

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1063479434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513139",
            "telephone_number": "972-528-5590",
            "fax_number": "972-905-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513139",
            "telephone_number": "972-528-5590",
            "fax_number": "972-905-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MAYRA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G6186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "G6186",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114923904",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mayrathompsonmd.com",
            "affiliation": "N",
            "address_1": "12201 Merit Dr Ste 300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752513139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.